Hetherington, Marie

Hetherington, Marie is an individual health care provider with primary practice located at 333 Cedar St # Te2 , New Haven CT 06510-3206. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Hetherington, Marie can be contacted via phone (203) 785-5253.

Contact Information

Primary practice address
333 Cedar St # Te2 New Haven CT 06510-3206
Fax: (203) 737-1688
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 004189 Connecticut

Profile Details

NPI number 1245563055
LBN Legal business name Hetherington, Marie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2009
Last updated Jul 18th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1245563055 NPPES
Connecticut Other 4189 APRN CT LIC#

Popular Providers