MARY FULLER

NEW HAVEN, CT
NPI1285034058
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: CT  132485)
Additional Taxonomies164W00000X Licensed Practical Nurse
(Licence: CT  36259)
Enumeration Date2014-08-29
Last Update Date2017-03-28
Business Address
-- MARY FULLER LPN
495 CONGRESS AVE
NEW HAVEN, CT 06519-1312
Phone number: 203-781-4600
Mailing Address
-- MARY FULLER LPN
1 LONG WHARF DR
NEW HAVEN, CT 06511-5991
Phone number: 203-781-4600