Individual provider · Type 1 NPI
Shady Taveras, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Bridgeport, CT
NPI number
1730501727
Active
Practice location
346 Dayton Rd
Bridgeport, CT 06606-3112
Fax (959) 666-8678
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 14273 (CT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1730501727
Shady Taveras, PMHNP's National Provider Identifier is 1730501727, issued on Jan 10, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bridgeport, CT. The record was last updated on Mar 24, 2025.