Mrs. Madonna K Fasula, APRN
Clinical Nurse Specialist, Psych/Mental Health, Adult in New Haven, Connecticut
1053626929- Practice location
- 100 York St Ste 2J, New Haven, CT 06511-5664
- Phone
- 203-764-9131
- Fax
- 203-764-5963
- Last updated
- August 16, 2010
Madonna Kay Fasula is a Clinical Nurse Specialist, Psych/Mental Health, Adult based in New Haven, CT. Madonna Kay Fasula practices in New Haven, CT and has the professional credentials of APRN. The NPI Number for Madonna Kay Fasula is 1053626929 and holds a License No. 002435 (CT). The current practice location address for Madonna Kay Fasula is 100 York St Ste 2J, New Haven, CT 06511-5664 and can be reached out via phone at 203-764-9131 and via fax at 203-764-5963.
Provider Profile Details
- NPI Number
- 1053626929
- Provider Name
- Madonna Kay Fasula
- Credential
- APRN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 100 York St Ste 2J, New Haven, CT 06511-5664
- Phone Number
- 203-764-9131
- Fax Number
- 203-764-5963
- Primary Taxonomy
- Clinical Nurse Specialist, Psych/Mental Health, Adult · 364SP0809X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 16, 2010
- Last Update Date
- August 16, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 York St Ste 2J
New Haven, CT 06511-5664 - City
- New Haven
- State
- Connecticut
- Zip
- 06511-5664
- Phone Number
- 203-764-9131
- Fax Number
- 203-764-5963
Provider Business Mailing Address Details
- Address
- 100 York St Ste 2J
New Haven, CT 06511-5664 - City
- New Haven
- State
- CT
- Zip
- 06511-5664
- Phone Number
- 203-764-9131
- Fax Number
- 203-764-5963
License Information
- License Number
- 002435
- License State
- CT
- Taxonomy
- Clinical Nurse Specialist, Psych/Mental Health, Adult · 364SP0809X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Madonna K Fasula, APRN?
The NPI number of Mrs. Madonna K Fasula, APRN is 1053626929. It was assigned on August 16, 2010 and is currently active in the NPPES registry.
What is the specialty of Mrs. Madonna K Fasula, APRN?
Mrs. Madonna K Fasula, APRN is registered under the primary taxonomy Clinical Nurse Specialist, Psych/Mental Health, Adult (code 364SP0809X), licensed in CT under license number 002435.
Where does Mrs. Madonna K Fasula, APRN practice?
The practice location is 100 York St Ste 2J, New Haven, CT 06511-5664. The office can be reached at 203-764-9131 (phone) or 203-764-5963 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053626929 directly on the NPPES registry website.