Individual
SAVITHA CHANDRAMOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
721 W AVON RD, AVON, CT 06001-2939
(860) 404-1807
Mailing address
721 W AVON RD, AVON, CT 06001-2939
(860) 404-1807
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2019084685
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024059901
CT
Other
Enumeration date
02/27/2020
Last updated
04/04/2025
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