Organization · Type 2 NPI

Integrated Behavioral Health PC

Psychiatric/Mental Health Nurse Practitioner · Cromwell, CT

NPI number 1104302033 Active

Practice location

80 Shunpike Rd Ste 101-B2
Cromwell, CT 06416-4401

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X4747 (CT)

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

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About NPI 1104302033

Integrated Behavioral Health PC's National Provider Identifier is 1104302033, issued on Jul 13, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Cromwell, CT. The record was last updated on Jul 4, 2019.