Individual provider · Type 1 NPI
Susan J. Grillo, APRN
Psychiatric/Mental Health Nurse Practitioner · New London, CT
NPI number
1962584284
Active
Practice location
365 Montauk Ave
New London, CT 06320-4700
Fax (860) 444-0863
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 001526 (CT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1962584284
Susan J. Grillo, APRN's National Provider Identifier is 1962584284, issued on Oct 19, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New London, CT. The record was last updated on Jul 9, 2007.