Organization · Type 2 NPI
Northeast Wellness Clinic PLLC
Psychiatric/Mental Health Nurse Practitioner · Fairfield, CT
NPI number
1114851227
Active
Practice location
1201 Kings Hwy
Fairfield, CT 06824-5319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1114851227
Northeast Wellness Clinic PLLC's National Provider Identifier is 1114851227, issued on Jun 12, 2026. 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 Jun 12, 2026.