Madonna Kay Fasula, A.P.R.N. Valid NPI
Individual provider · Adult Psychiatric/Mental Health Clinical Nurse Specialist · New Haven, CT
- NPI
- 1053626929
- Type
- Individual (Type 1)
- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist (Clinical Nurse Specialist)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 364SP0809X
- License number
- 002435 (CT)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2010-08-16
- Last updated
- 2010-08-16
Practice location
100 York St Ste 2j
New Haven, CT 06511-5664
(203) 764-9131