Individual provider · Type 1 NPI

Orawan Gardner

Psychiatric/Mental Health Nurse Practitioner · Derby, CT

NPI number 1710469333 Active

Practice location

130 Division St
Derby, CT 06418-1326

Mailing address

33 Dixwell Ave # 191
New Haven, CT 06511-3403

Other practice locations

  • 2389 Main St, Ste 100, Glastonbury, CT 06033 · (203) 303-9262

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X7801 (CT)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1710469333

Orawan Gardner's National Provider Identifier is 1710469333, issued on Aug 30, 2018. 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 Aug 9, 2022.