Brown, Susan Marie

Brown, Susan Marie is an individual health care provider with primary practice located at 95 Circular Ave , Hamden CT 06514-4004. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Brown, Susan Marie can be contacted via phone (203) 288-6253.

Contact Information

Primary practice address
95 Circular Ave Hamden CT 06514-4004
Phone: (203) 288-6253
Fax: (203) 288-0948
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 001395 Connecticut

Profile Details

NPI number 1013999028
LBN Legal business name Brown, Susan Marie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Aug 4th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013999028 NPPES
Connecticut MEDICAID 004167715

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