Provider Demographics
NPI:1356076764
Name:LEZEAU, ANNE-MARIE SABINE (RN, PMHNP, DNP)
Entity type:Individual
Prefix:MISS
First Name:ANNE-MARIE
Middle Name:SABINE
Last Name:LEZEAU
Suffix:
Gender:F
Credentials:RN, PMHNP, DNP
Other - Prefix:
Other - First Name:ANNE-MARIE
Other - Middle Name:SABINE
Other - Last Name:LEZEAU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:20 DAY ST APT 111
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06854-4917
Mailing Address - Country:US
Mailing Address - Phone:203-613-2489
Mailing Address - Fax:
Practice Address - Street 1:34 MAPLE ST
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06850-3815
Practice Address - Country:US
Practice Address - Phone:203-852-2265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT12014336363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTW263197810OtherAETNA