| NPI | 1326569120 |
|---|---|
| Other Name | MARY ELLEN MITCHELL HADDAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402319) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 353420-1) |
| 163W00000X Registered Nurse (Licence: CT 88186) | |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2019-10-18 |