Individual
PHILISHA LELIA FORDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 YORKTOWN RDG, WATERBURY, CT 06704-1563
(917) 312-7141
Mailing address
32 YORKTOWN RDG, WATERBURY, CT 06704-1563
(917) 312-7141
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
834194
NY
Other
Enumeration date
02/01/2024
Last updated
09/11/2025
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