Rousseau, Maryellen

Rousseau, Maryellen is an individual health care provider with primary practice located at 800 Howard Ave , New Haven CT 06519-1369. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Rousseau, Maryellen can be contacted via phone (203) 785-2140.

Contact Information

Primary practice address
800 Howard Ave New Haven CT 06519-1369
Phone: (203) 785-2140
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 0000055 Connecticut

Profile Details

NPI number 1962483966
LBN Legal business name Rousseau, Maryellen
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Sep 24th, 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 1962483966 NPPES
Connecticut MEDICAID 004147486

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