Individual
ORAWAN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 735-7421
Mailing address
33 DIXWELL AVE # 191, NEW HAVEN, CT 06511-3403
(203) 303-9262
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7801
CT
Other
Enumeration date
08/30/2018
Last updated
08/09/2022
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