Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PE0004X | Emergency Medical Services | 8637 | CT |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 8637 | CT |
NPI | 1033755095 |
---|---|
Provider Name | Yael Maritza Calle |
First Address | North Haven, CT 06473-1066 |
Second Address | Waterbury, CT 06706-1253 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2019 |
Last Update Date | 11/11/2021 |