Individual provider · Type 1 NPI
Michelle Dara Widdows, PMHNP-C
Psychiatric/Mental Health Nurse Practitioner · Trumbull, CT
NPI number
1669830139
Active
Practice location
105 Technology Dr Fl 2
Trumbull, CT 06611-6348
Fax (203) 283-6490
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 606396 (NY) |
| Registered Nurse | 163W00000X | 10.146391 (CT) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 12.014410 (CT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1669830139
Michelle Dara Widdows, PMHNP-C's National Provider Identifier is 1669830139, issued on Jan 29, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Trumbull, CT. The record was last updated on Jun 2, 2025.