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

Orawan Gardner

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1710469333

Orawan Gardner is a Nurse Practitioner in Derby, Connecticut. Qualified in 2015, 11 years ago. Practices with Yale University, a 2,618-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
11
Licensed in
CT
In the registry since
2018

Practice location Address checks out

130 Division St
Derby, CT 06418-1326
Phone: (203) 735-7421
Show map & directions

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

Additional practice locations (1)

  • 2389 Main St, Glastonbury, CT 06033 — (203) 303-9262

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 7801 (CT)

Record details

NPI number1710469333
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 30, 2018
Last updated in NPPESAugust 9, 2022
Certification dateAugust 1, 2022
Mailing address33 Dixwell Ave # 191, New Haven, CT 06511-3403

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Yale University — 2618 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Derby