DONNA MARIE TICE

WEST HAVEN, CT
NPI1184799413
Other NameDONNA PETRILLO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CT  003511)
Enumeration Date2006-11-21
Last Update Date2007-07-08
Business Address
-- DONNA MARIE TICE APRN BC
950 CAMPBELL AVENUE VETERAN'S ADMINISTRATION MEDICAL CENTER
WEST HAVEN, CT 06516
Phone number: 203-932-5711
Mailing Address
-- DONNA MARIE TICE APRN BC
10 REGENT DRIVE
SHELTON, CT 06484
Phone number: 203-925-7795
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