person
Daedly Potusek
Psychiatric/Mental Health Nurse Practitioner in Waterbury, Connecticut
NPI 1578022166

Daedly Potusek is a Psychiatric/Mental Health Nurse Practitioner based in Waterbury, CT and is specialized in Psychiatric/Mental Health. Daedly Potusek practices in Waterbury, CT. The NPI Number for Daedly Potusek is 1578022166 and holds a License No. 8133 (Connecticut).

The current practice location address for Daedly Potusek is 80 Phoenix Ave, Waterbury, CT and can be reached out via phone at 203-756-8021.

Location: 80 Phoenix Ave, Waterbury, CT, 06702-1418
person
Provider Profile Details
NPI Number
1578022166
Provider Name
Daedly Potusek
Credential
Provider Entity Type
Individual
Gender
Female
Address
80 Phoenix Ave, Waterbury, CT, 06702-1418
Phone Number
203-756-8021
Fax Number
Provider Enumeration Date
03/14/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
80 Phoenix Ave
City
State
Zip
06702-1418
Phone Number
203-756-8021
Fax Number
person
Provider Business Mailing Address Details
Address
80 Phoenix Ave
City
State
Zip
06702-1418
Phone Number
203-756-8021
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
8133 (Connecticut)
Definition
Definition to come...
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