# PERRY GITHENS APRN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508644196
- **Authorized official:** PERRY GITHENS (OWNER)
- **Authorized official phone:** (959) 799-1891

## Contact information

- **Practice address:** 30 BRIDGE ST STE 103, NEW MILFORD, CT 06776-3517
- **Practice address phone:** (959) 799-1891
- **Practice address fax:** (425) 250-8445
- **Mailing address:** 30 BRIDGE ST STE 103, NEW MILFORD, CT 06776-3517
- **Mailing address phone:** (860) 799-8344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/15/2023
- **Last updated:** 02/12/2025