MEDICARE: SALOUA MABKHOUTI APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	006607	CT

General Provider Information

NPI Number	:	1457805475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SALOUA MABKHOUTI APRN

Provider Business Mailing Address
First Line	:	1625 STRAITS TPKE
Second Line	:	SUITE 201
City	:	MIDDLEBURY
State	:	CT
Zip	:	06762-1836
Country	:	US
Telephone Number	:	320-357-3951
Fax Number	:	320-357-5520

Provider Business Practice Location Address
First Line	:	40 MAIN ST N
Second Line	:
City	:	WOODBURY
State	:	CT
Zip	:	06798-2966
Country	:	US
Telephone Number	:	203-266-0080
Fax Number	:	203-575-5221

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2016
Last Update Date	:	04/27/2017

Similar Medicare Providers

1265405963 — DR. CHARLES C MCNAIR MD
Practice Location Address:

40 MAIN ST N
WOODBURY, CT
06798-2966

Practice Phone: 203-266-0080
Practice Fax: 203-263-3921

1649214727 — MR. JAMES SAAR BAUER DMD
Practice Location Address:

40 MAIN ST N
WOODBURY, CT
06798-2966

Practice Phone: 203-263-4402
Practice Fax: 203-263-6211

1821394925 — MARIA GUGLIELMINO, PSY.D., LLC
Practice Location Address:

40 MAIN ST N , SUITE 2-F
WOODBURY, CT
06798-2966

Practice Phone: 203-266-9253
Practice Fax:

1861966954 — JAMES S BAUER DMD INCORPORATED
Practice Location Address:

40 MAIN ST N STE E
WOODBURY, CT
06798-2966

Practice Phone: 203-263-4402
Practice Fax: 203-263-6211

1780247528 — WILLIAM CHRISTOPHER BROWN LCSW
Practice Location Address:

40 MAIN ST N STE 2F
WOODBURY, CT
06798-2966

Practice Phone: 860-483-0796
Practice Fax:

1720739105 — RACHEL BETH DORFMAN L.AC
Practice Location Address:

40 MAIN ST N STE 1B
WOODBURY, CT
06798-2966

Practice Phone: 203-266-9088
Practice Fax:

Directions to “ SALOUA MABKHOUTI APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.