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

Patra Mariam Childress

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1235692377

Patra Mariam Childress is a Student in an Organized Health Care Education/Training Program in Danbury, Connecticut. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

24 Hospital Ave
Danbury, CT 06810-6099
Phone: (203) 739-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1235692377
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 6, 2019
Last updated in NPPESJune 30, 2020
Certification dateJune 30, 2020

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