Professional Nurse Practitioner
Professional Nurse Practitioner provides Psychiatry Physician services in Newington, Connecticut. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
127 Hampton CtNewington, CT 06111-1144
Phone: (860) 983-9965
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X |
|---|
Record details
| NPI number | 1710605845 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Marisol Rodriguez — Owner · (475) 302-6667 |
| Other names | Marisol Rodriguez |
| NPI enumerated | August 15, 2022 |
| Last updated in NPPES | August 15, 2022 |
| Certification date | August 15, 2022 |
| Mailing address | 127 Hampton Ct, Newington, CT 06111-1144 |
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