Organization · Type 2 NPI
Wholesoul LLC
Psychiatric/Mental Health Nurse Practitioner · Derby, CT
NPI number
1124969340
Active
Practice location
1 5th St
Derby, CT 06418-1916
Mailing address
29 Maple Dr
Prospect, CT 06712-1061
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Derby
About NPI 1124969340
Wholesoul LLC's National Provider Identifier is 1124969340, issued on Apr 2, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Derby, CT. The record was last updated on Apr 2, 2026.