Organization · Type 2 NPI
Laura Petiford Pmhnp, LLC
Psychiatric/Mental Health Nurse Practitioner · Fairfield, CT
NPI number
1083110092
Active
Practice location
1525 Kings Hwy Ste 206
Fairfield, CT 06824-5321
Fax (203) 844-0179
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 006417 (CT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1083110092
Laura Petiford Pmhnp, LLC's National Provider Identifier is 1083110092, issued on Mar 30, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fairfield, CT. The record was last updated on Mar 30, 2018.