NPI 1053626929

Madonna Kay Fasula, APRN

Practitioner Adult Psychiatric/Mental Health Clinical Nurse Specialist New Haven, CT

Practice location

Address: 100 York St STE 2j, New Haven, CT 06511-5664
Phone: (203) 764-9131
Fax: (203) 764-5963

Registered specialties

Adult Psychiatric/Mental Health Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0809X Licence 002435 (CT)

Other Clinical Nurse Specialist providers in Connecticut →

Registry record

NPI: 1053626929
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Aug 2010
Record last updated: 16 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.