Doctor Name: | MRS. CYNTHIA D L'HEUREUX |
NPI Number: | 1033178926 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 001296 |
Business Practice Address: | 85 Poheganut Dr Groton, CT - 063403216 |
Business Phone Number: | 8604486303 |
Business Fax Number: | |
Mailing Address: | 1403 Hopeville Rd, GRISWOLD |
State: | CT |
Postal Code: | 063511614 |
Phone Number: | 8603760692 |
Fax Number: | |
NPI Enumeration Date: | 03/21/2006 |
NPI Last Update Date: | 11/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | 001296 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |