Mary D Moller in New Haven - Psychiatric/mental Health, Adult
Mary D Moller - NPI 1770582884
Mary D Moller is a Psychiatric/mental Health, Adult in New Haven, Connecticut. Mary D Moller practices all healthcare services and medical treatments related to Psychiatric/mental Health, Adult. The NPI Number for Mary D Moller is 1770582884. The last update date is 2010-08-20.
Mary D Moller's current location address is 374 Grand Ave, New Haven, Connecticut. You can contact this provider via phone number 2037777411. The mailing address for Mary D Moller is 374 Grand Ave, New Haven, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary D Moller |
|---|---|
| Address | 374 Grand Ave, New Haven, Connecticut |
| Phone Number | 2037777411 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DNP, APRN, |
NPI Number Detail
| NPI Number | 1770582884 |
|---|---|
| Provider Enumeration Date | 2005-07-20 |
| Last Updated Date | 2010-08-20 |
Provider Mailing Address Detail
| Address | 374 Grand Ave |
|---|---|
| City | New Haven |
| State | Connecticut (CT) |
| Post Code | 65133733 |
| Phone Number | 2037777411 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health, Adult |
|---|---|
| Taxonomy | 364Sp0809X |
| Licence No | AP30003075 |
|
Definition: A psychiatric clinical nurse specialist expert in caring for adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4003 | CT | APRN LICENSE | |
| AP30003075 | WA | ARNP LIC # |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mary D Moller by the Centers for Medicare & Medicaid Services?
The Mary D Moller has been issued the NPI (National Provider Identifier) 1770582884 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Mary D Moller is located?
The Mary D Moller is situated at the following address: 374 Grand Ave, New Haven, CT, 65133733.
What is the Mary D Moller's specialty and taxonomy code?
The Mary D Moller's specialty is Psychiatric/mental Health, Adult, and the corresponding taxonomy code is 364Sp0809X.
When was the Mary D Moller's 1770582884 issued?
The Mary D Moller's 1770582884 was issued on 2005-07-20.
When was the Mary D Moller's information last updated?
The Mary D Moller's information was last updated on 2010-08-20.