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Individual

TAMIKA L EDMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
124 COALPIT HILL RD UNIT 67, DANBURY, CT 06810-8017
(949) 405-8023
Mailing address
124 COALPIT HILL RD UNIT 67, DANBURY, CT 06810-8017
(949) 405-8023

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
301743
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
16157
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F408016
NY

Other

Enumeration date
09/17/2010
Last updated
03/03/2026
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