Individual
STEPHANIE FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP
Contact information
Practice address
300 PLAZA MIDDLESEX, MIDDLETOWN, CT 06457-3455
(860) 975-7455
Mailing address
300 PLAZA MIDDLESEX, MIDDLETOWN, CT 06457-3455
(860) 975-7455
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12.013089
CT
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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