person
Marissa Amber Van Hennik, PA
Medical Physician Assistant in Waterbury, Connecticut
NPI 1740213727

Marissa Amber Van Hennik is a Medical Physician Assistant based in Waterbury, CT and is specialized in Medical. Marissa Amber Van Hennik practices in Waterbury, CT and has the professional credentials of PA. The NPI Number for Marissa Amber Van Hennik is 1740213727 and holds a License No. 001324 (Connecticut).

The current practice location address for Marissa Amber Van Hennik is 56 Franklin St, Waterbury, CT and can be reached out via phone at 203-709-6004 and via fax at 203-709-3700.

Location: 56 Franklin St, Waterbury, CT, 06706-1221
person
Provider Profile Details
NPI Number
1740213727
Provider Name
Marissa Amber Van Hennik
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
56 Franklin St, Waterbury, CT, 06706-1221
Phone Number
203-709-6004
Fax Number
203-709-3700
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
56 Franklin St
City
State
Zip
06706-1221
Phone Number
203-709-6004
Fax Number
203-709-3700
person
Provider Business Mailing Address Details
Address
56 Franklin St
City
State
Zip
06706-1221
Phone Number
203-709-6004
Fax Number
203-709-3700
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
001324 (Connecticut)
Definition
Definition to come...
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