Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elise Hettenbach

Individual provider Family Nurse Practitioner · NPI 1104432996

Elise Hettenbach is a Family Nurse Practitioner in New Haven, Connecticut. Licensed in Connecticut. Registered with an NPI since 2020.

Licensed in
CT
In the registry since
2020

Practice location Address checks out

789 Howard Ave
New Haven, CT 06519-1304
Phone: (888) 461-0106
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 9191 (CT)

Record details

NPI number1104432996
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 17, 2020
Last updated in NPPESApril 12, 2021
Certification dateApril 12, 2021

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