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NPI Code Detail

MEDICARE: MARILOU DELA CRUZ SAWAN

MEDICARE:   MARILOU DELA CRUZ SAWAN
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
1363LF0000XFamily Nurse Practitioner16462CT

General Provider Information

NPI Number : 1255283297
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARILOU DELA CRUZ SAWAN
Provider Business Mailing Address
First Line : 6 SYLVESTERS WAY
Second Line :
City : SHELTON
State : CT
Zip : 06484-2910
Country : US
Telephone Number : 203-923-3860
Fax Number :
Provider Business Practice Location Address
First Line : 2800 MAIN ST
Second Line :
City : BRIDGEPORT
State : CT
Zip : 06606-4201
Country : US
Telephone Number : 203-576-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2026
Last Update Date : 02/12/2026

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Directions to “ MARILOU DELA CRUZ SAWAN ” Practice Location

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