Individual
LORRAINE M. CONGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1000 BRIDGEPORT AVE STE 202, SHELTON, CT 06484-4669
(203) 758-2400
Mailing address
1000 BRIDGEPORT AVE STE 202, SHELTON, CT 06484-4669
(203) 758-2400
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6465
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F401878
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004041000
—
CT
05
—
004217099
—
CT
05
—
008003745
—
CT
Enumeration date
01/12/2016
Last updated
01/11/2026
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