Individual provider · Type 1 NPI

Fara Philidor, APRN

Nurse Practitioner · New London, CT

NPI number 1275451502 Active

Practice location

1 Shaws Cv
New London, CT 06320-4902

Call (860) 447-8304 Map

Fax (860) 443-8720

Mailing address

19 Grand St
Middletown, CT 06457-2705

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Nurse Practitioner Primary 363L00000X17840 (CT)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1275451502

Fara Philidor, APRN's National Provider Identifier is 1275451502, issued on Jul 6, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in New London, CT. The record was last updated on Jul 9, 2026.