Fasula, Madonna Kay
Fasula, Madonna Kay is an sole proprietor health care provider with primary practice located at 100 York St Ste 2J , New Haven CT 06511-5664. 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. Fasula, Madonna Kay can be contacted via phone (203) 764-9131.Contact Information
Primary practice address
100 York St Ste 2J
New Haven CT 06511-5664
Phone: (203) 764-9131
Fax: (203) 764-5963
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult | 364SP0809X | 002435 | Connecticut |
Profile Details
| NPI number | 1053626929 |
|---|---|
| LBN Legal business name | Fasula, Madonna Kay |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2010 |
| Last updated | Aug 16th, 2010 - about 14 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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