Individual
MEKESSIA RICHARDS-CARBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
566 PROSPECT AVE, HARTFORD, CT 06105
(860) 655-4986
Mailing address
566 PROSPECT AVE, HARTFORD, CT 06105-2920
(860) 655-4986
(203) 781-4624
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9207
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004217099
—
CT
05
—
008039745
—
CT
05
—
008056033
—
CT
05
—
008056168
—
CT
05
—
008068298
—
CT
05
—
008098243
—
CT
Enumeration date
09/25/2020
Last updated
02/29/2024
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