person
Asena Derohannesian
Pediatric Nurse Practitioner in Bridgeport, Connecticut
NPI 1043685308

Asena Derohannesian is a Pediatric Nurse Practitioner based in Bridgeport, CT and is specialized in Pediatrics. Asena Derohannesian practices in Bridgeport, CT. The NPI Number for Asena Derohannesian is 1043685308 and holds a License No. 6410 (Connecticut).

The current practice location address for Asena Derohannesian is 425 Thorme St, Bridgeport, CT and can be reached out via phone at 203-275-4115 and via fax at 203-275-0198.

Location: 425 Thorme St, Bridgeport, CT, 06605-2602
person
Provider Profile Details
NPI Number
1043685308
Provider Name
Asena Derohannesian
Credential
Provider Entity Type
Individual
Gender
Female
Address
425 Thorme St, Bridgeport, CT, 06605-2602
Phone Number
203-275-4115
Fax Number
203-275-0198
Provider Enumeration Date
12/11/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
425 Thorme St
City
State
Zip
06606-3418
Phone Number
203-275-4115
Fax Number
203-275-0198
person
Provider Business Mailing Address Details
Address
425 Thorme St
City
State
Zip
06606-3418
Phone Number
203-275-4115
Fax Number
203-275-0198
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
6410 (Connecticut)
Definition
Definition to come...
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