Individual provider · Type 1 NPI
Mary Elizabeth, APRN
Acute Care Nurse Practitioner · Hartford, CT
NPI number
1962817908
Active
Practice location
80 Seymour St, Hartford Hospital Neurology Dept
Hartford, CT 06102-5037
Mailing address
158 Sulliven Ave, Suite 6
South Windsor, CT 06074
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 005769 (CT) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 005769 (CT) |
| Acute Care Clinical Nurse Specialist | 364SA2100X | 005769 (CT) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1962817908
Mary Elizabeth, APRN's National Provider Identifier is 1962817908, issued on Jun 28, 2014. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Hartford, CT. The record was last updated on Sep 9, 2026.