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Search › Connecticut › 364SP0808X

Mary Forman, APRN

NPI 1164868030 · on the registry since 2013

Practice

Address
415 Main St
West Haven, CT 06516
Phone
(203) 931-1184
Fax
(203) 931-0063
Organisation at this address
Inclima Eye Care, Llc
Shoreline Wellness Center, Llc.
Shoreline Wellness Behavioral Health Clinic, Llc
Shoreline Wellness Behavioral Health Outreach Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
39

Registry record

Primary taxonomy
364SP0808X
364SP0808X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-05-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut