# MARTHA BARCELOS APRN, PMHNP, LLC

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

## Provider details

- **NPI number:** 1679132310
- **Authorized official:** MRS. MARTHA S BARCELOS APRN (PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (860) 329-9928

## Contact information

- **Practice address:** 779 FARMINGTON AVE, WEST HARTFORD, CT 06119-1674
- **Practice address phone:** (860) 329-9928
- **Mailing address:** 39 MADISON LN, WEST SIMSBURY, CT 06092-2615
- **Mailing address phone:** (860) 803-4127

## 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:** 06/06/2019
- **Last updated:** 06/06/2019