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

Professional Nurse Practitioner

Organization Psychiatry Physician · NPI 1710605845

Professional Nurse Practitioner is a Psychiatry Physician in Newington, Connecticut. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

127 Hampton Ct
Newington, CT 06111-1144
Phone: (860) 983-9965
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1710605845
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marisol Rodriguez — Owner · (475) 302-6667
Other names Marisol Rodriguez
NPI enumeratedAugust 15, 2022
Last updated in NPPESAugust 15, 2022
Certification dateAugust 15, 2022
Mailing address127 Hampton Ct, Newington, CT 06111-1144

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