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Contact Information

MADONNA K FASULA, A.P.R.N.
100 YORK ST STE 2J
NEW HAVEN, CT06511-5664
 Phone: 203-764-9131
 Fax: 203-764-5963
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health, Adult

364SP0809X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for MADONNA K FASULA · (Female)

NPI Number 1053626929
Status Active
Credentials A.P.R.N.
Entity Individual
Enumeration date 08/16/2010
Last updated 08/16/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 002435
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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