Mauldon, Maria

Mauldon, Maria is an individual health care provider with primary practice located at 374 Grand Ave Fair Haven Community Health Ctr, New Haven CT 06511. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Community Health, which is considered as her primary health care specialty. Mauldon, Maria can be contacted via phone (203) 777-7411.

Contact Information

Primary practice address
374 Grand Ave Fair Haven Community Health Ctr New Haven CT 06511
Phone: (203) 777-7411
Fax: (203) 777-8506
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X 000435 Connecticut

Profile Details

NPI number 1750485801
LBN Legal business name Mauldon, Maria
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2006
Last updated Jul 8th, 2007 - about 18 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 1750485801 NPPES
Connecticut MEDICAID 004235736
Connecticut Other 0004359734
Connecticut Other 400000435CT

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