Gryczewski, Marzena
Gryczewski, Marzena is an individual health care provider with primary practice located at 555 Willard Ave # 506 , Newington CT 06111-2631. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Gryczewski, Marzena can be contacted via phone (860) 256-1553.Contact Information
Primary practice address
555 Willard Ave # 506
Newington CT 06111-2631
Phone: (860) 256-1553
Fax: (860) 667-6799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 004919 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 004919 | Connecticut |
Profile Details
| NPI number | 1548500663 |
|---|---|
| LBN Legal business name | Gryczewski, Marzena |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2013 |
| Last updated | Apr 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548500663 | NPPES |
| Connecticut | MEDICAID | 004049193 |
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