Individual
SHADY TAVERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
346 DAYTON RD, BRIDGEPORT, CT 06606-3112
(203) 450-6515
(959) 666-8678
Mailing address
346 DAYTON RD, BRIDGEPORT, CT 06606-3112
(203) 450-6515
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
14273
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008023170
—
CT
05
—
008024427
—
CT
05
—
008042339
—
CT
Enumeration date
01/10/2014
Last updated
03/24/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us