Individual
MELINDA SILVA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1 BRADLEY RD, WOODBRIDGE, CT 06525-2285
(203) 463-4555
Mailing address
1 BRADLEY RD, WOODBRIDGE, CT 06525-2285
(203) 463-4555
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
007898
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12432
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235918
—
CT
Enumeration date
09/18/2012
Last updated
01/13/2024
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