Individual
DR. AMY A PAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD CS APRN BC
Contact information
Practice address
2335 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3220
(203) 373-1234
(203) 375-5619
Mailing address
16 OLD DAIRY RD, TRUMBULL, CT 06611-4954
(203) 394-2423
(203) 375-5619
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
000869
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004191101
—
CT
01
—
122025
VALUE OPTIONS
CT
01
—
173546
HEALTH NET
CT
01
—
400000869CT01
CT ANTHEM BLUE CROSS BLUE
CT
Enumeration date
01/26/2007
Last updated
12/01/2013
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