Individual provider · Type 1 NPI
Madeline Francis Revere, APRN
Psychiatric/Mental Health Nurse Practitioner · Waterbury, CT
NPI number
1659353118
Active
Practice location
64 Robbins St, Crisis Intervention Center
Waterbury, CT 06708-2613
Fax (203) 573-7007
Mailing address
3 Sabbaday Ln
Washington, CT 06793-1306
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 000241 (CT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1659353118
Madeline Francis Revere, APRN's National Provider Identifier is 1659353118, issued on Nov 18, 2005. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Waterbury, CT. The record was last updated on Apr 8, 2011.