Individual provider · Type 1 NPI

Gweneth M. Douglas, APRN

Psychiatric/Mental Health Nurse Practitioner · Hartford, CT

NPI number 1083172811 Active

Practice location

675 Tower Ave Ste 301
Hartford, CT 06112-1274

Fax (860) 714-8591

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse 163WP0808X7942 (CT)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X7942 (CT)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1083172811

Gweneth M. Douglas, APRN's National Provider Identifier is 1083172811, issued on Mar 11, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Hartford, CT. The record was last updated on Jun 30, 2020.