Provider Demographics
NPI:1427140243
Name:PELUSE, BARBARA ELLEN (APRN)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ELLEN
Last Name:PELUSE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 TUTTLE AVE
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06518-1513
Mailing Address - Country:US
Mailing Address - Phone:203-287-8448
Mailing Address - Fax:
Practice Address - Street 1:VACT HEALTHCARE SYSTEM
Practice Address - Street 2:950 CAMPBELL AVE
Practice Address - City:WEST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516
Practice Address - Country:US
Practice Address - Phone:203-932-5711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTE41050163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult