Individual provider · Type 1 NPI

Elise Mae Fernstrom

Psychiatric/Mental Health Nurse Practitioner · Norwich, CT

NPI number 1083411904 Active

Practice location

401 W Thames St Bldg 301
Norwich, CT 06360-7155

Mailing address

122 Brooklyn Rd
Pomfret Center, CT 06259-2404

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X14409 (CT)

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

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About NPI 1083411904

Elise Mae Fernstrom's National Provider Identifier is 1083411904, issued on Feb 27, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Norwich, CT. The record was last updated on Feb 27, 2025.