ROZLYN GRACE PORAY

NEW HAVEN, CT
NPI1366912701
Former NameROZLYN GRACE PETERSEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CT  7982)
Additional Taxonomies163W00000X Registered Nurse
(Licence: CT  138969)
207L00000X Anesthesiology
(Licence: TN  APN0000031389)
Enumeration Date2018-11-28
Last Update Date2022-05-27
Business Address
ROZLYN GRACE PORAY APRN, CRNA
1450 CHAPEL ST
NEW HAVEN, CT 06511-4440
Phone number: 203-416-9032
Mailing Address
ROZLYN GRACE PORAY APRN, CRNA
4753 MALLARD LAKE CV
COLLIERVILLE, TN 38017-9360
Phone number: 207-416-9032