KATELYN MADELINE WIRTZ

WEST HAVEN, CT
NPI1083282891
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CT  9910)
Enumeration Date2021-06-16
Last Update Date2021-09-16
Business Address
KATELYN MADELINE WIRTZ
285 MAIN ST
WEST HAVEN, CT 06516-7307
Phone number: 203-503-3000
Mailing Address
KATELYN MADELINE WIRTZ
400 COLUMBUS AVENUE CREDENTIALING SPECIALIST
NEW HAVEN, CT 06519-1233
Phone number: 203-503-3174
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