ELISE MAE FERNSTROM

NORWICH, CT
NPI1083411904
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CT  14409)
Enumeration Date2025-02-27
Last Update Date2025-02-27
Business Address
ELISE MAE FERNSTROM
401 W THAMES ST BLDG 301
NORWICH, CT 06360-7155
Phone number: 860-859-4563
Mailing Address
ELISE MAE FERNSTROM
122 BROOKLYN RD
POMFRET CENTER, CT 06259-2404
Phone number: 860-250-6210