Individual
NICOLE JEAN DATOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, PMHNP-BC
Contact information
Practice address
120 MAIN ST FL 2, DANBURY, CT 06810-7834
(203) 456-1412
Mailing address
120 MAIN ST FL 2, DANBURY, CT 06810-7834
(203) 456-1412
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
008020
CT
Other
Enumeration date
06/27/2019
Last updated
10/04/2019
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