Most Relevant Information
Provider Data
| NPI Number: | 1003048869 |
| Provider Name: | AUDREY P SENIOR APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 002322 |
Most Important Dates
| Enumeration Date: | 08/12/2009 |
| Last Updated: | 08/12/2009 |
Provider Practice Location
20 YORK ST
NEW HAVEN
CT
065103220
Practice Location Phone/Fax
| Phone: | 2036885860 |
| Fax: | 2036887533 |
Provider Mailing Location
20 YORK ST
NEW HAVEN
CT
065103220
Provider Mailing Phone/Fax
| Phone: | 2036885860 |
| Fax: | 2036887533 |