Organization · Type 2 NPI
Lifespan Collaborative Services LLC
Psychiatric/Mental Health Nurse Practitioner · Oxford, CT
NPI number
1013395466
Active
Practice location
71 Oxford Rd
Oxford, CT 06478-1900
Mailing address
2390 State St, Unit 2E
Hamden, CT 06517-3716
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 003973 (CT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1013395466
Lifespan Collaborative Services LLC's National Provider Identifier is 1013395466, issued on May 18, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Oxford, CT. The record was last updated on May 18, 2015.