Individual
MRS. SANDRA NTREH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP
Contact information
Practice address
115 ARDALE ST, WEST HAVEN, CT 06516-1834
(860) 796-5683
Mailing address
PO BOX 7720, CREDENTIALING SPECIALIST, NEW HAVEN, CT 06519
(203) 503-3174
(203) 503-6515
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6788
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008069804
—
CT
Enumeration date
10/31/2016
Last updated
10/04/2019
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