Individual
ROCHAK PRADHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, PMHNP-BC
Contact information
Practice address
204 CHERRY ST STE 15, MILFORD, CT 06460-3555
(203) 876-0545
Mailing address
204 CHERRY ST STE 15, MILFORD, CT 06460-3555
(203) 876-0545
(938) 253-3590
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
103107
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10453
CT
Other
Enumeration date
05/10/2021
Last updated
03/14/2022
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