Individual provider · Type 1 NPI
Lauren Alana Gillingham
Psychiatric/Mental Health Nurse Practitioner · Derby, CT
NPI number
1063287779
Active
Practice location
248 Seymour Ave
Derby, CT 06418-1332
Fax (203) 732-1550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 129031 (CT) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 12.015007 (CT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1063287779
Lauren Alana Gillingham's National Provider Identifier is 1063287779, issued on Nov 22, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Derby, CT. The record was last updated on Jul 14, 2025.