Individual
DR. ISELANDE DESYR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP PMHNP-BC FNP-BC
Contact information
Practice address
2875 MAIN STREET, SUITE 2A, STRATFORD, CT 06614-4979
(929) 447-2053
Mailing address
2875 MAIN ST, STE 2A, STRATFORD, CT 06614-4979
(929) 447-2053
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
6914
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6914
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6914
—
CT
Enumeration date
01/17/2017
Last updated
12/08/2020
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