Individual
MS. CANDACE O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
883 PADDOCK AVE, MERIDEN, CT 06450-7044
(203) 630-5280
Mailing address
883 PADDOCK AVE, MERIDEN, CT 06450-7044
(203) 630-5280
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
002521
CT
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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