Individual provider · Type 1 NPI

Danil Anisimov

Psychiatric/Mental Health Nurse Practitioner · Old Saybrook, CT

NPI number 1114150984 Active

Practice location

20 Research Pkwy
Old Saybrook, CT 06475-4214

Call (800) 370-3651 Map

Fax (860) 510-0020

Mailing address

31 Richards Grove Rd
Quaker Hill, CT 06375-1524

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X4165 (CT)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X4165 (CT)

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

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About NPI 1114150984

Danil Anisimov's National Provider Identifier is 1114150984, issued on Aug 27, 2009. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Old Saybrook, CT. The record was last updated on Apr 28, 2017.