Denisco, Susan M

Denisco, Susan M is an individual health care provider with primary practice located at 968 Fairfield Ave , Bridgeport CT 06605-1116. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Denisco, Susan M can be contacted via phone (203) 330-6000.

Contact Information

Primary practice address
968 Fairfield Ave Bridgeport CT 06605-1116
Phone: (203) 330-6000
Fax: (203) 382-2954
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 000281 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 000281 Connecticut

Profile Details

NPI number 1770614927
LBN Legal business name Denisco, Susan M
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Jul 21st, 2022 - about 3 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 1770614927 NPPES
Connecticut Other XR3207 HEALTH NET

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