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MRS. SUSAN H. AUSTEN APRN

Adult Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1023025772

Individual Registrant:
MRS. SUSAN H. AUSTEN APRN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
15 MOHEGAN AVE,  NEW LONDON, CT 06320 US
Tel: 860-437-3611  Fax: 860-437-1801

Contact information for business:
17 HUNTING RIDGE FARMS  BRANFORD, CT 06405-3128 US
Tel: 203-481-5800  Fax: 208-481-2814

Registration Information:
NPI: 1023025772
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LA2200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Adult Health
CT001027

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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