Individual
DIANA CONGDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1844 WHITNEY AVE STE 2, HAMDEN, CT 06517
(203) 407-1310
Mailing address
1844 WHITNEY AVE, FLOOR 2, HAMDEN, CT 06517-1400
(203) 407-1310
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1495
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4008405
—
CT
Enumeration date
09/27/2006
Last updated
01/09/2019
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