Angelique Carlson, LPN
Licensed Practical Nurse in New Haven, CT. Individual provider (NPI-1).
NPI number1376965327
StatusActive
Last updated in NPPESJan 24, 2022
Details
- NPI
- 1376965327
- Entity type
- Individual (NPI-1)
- Name
- Angelique Carlson
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 10, 2014
- Certification date
- Jan 24, 2022
- Last updated
- Jan 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 030856 | CT | Yes |
Practice location
495 Congress AveNew Haven, CT 06519-1312
Phone 203-781-4600 · Fax 203-781-4624
Mailing address
1 Long Wharf DrSte 321
New Haven, CT 06511-5991
Phone 203-781-4600 · Fax 203-781-4624
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