Individual
JULIA STARK ORICCHIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP
Contact information
Practice address
400 COLUMBUS AVE, APC, NEW HAVEN, CT 06519-1233
(203) 503-3075
(203) 503-3296
Mailing address
400 COLUMBUS AVENUE, CREDENTIALING SPECIALIST, NEW HAVEN, CT 06519-1233
(203) 503-3000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8265
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008089564
—
CT
Enumeration date
06/10/2019
Last updated
10/28/2020
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