Individual
TARYN WESTFALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 646-1222
Mailing address
512 SPRING ST, MANCHESTER, CT 06040-6757
(860) 461-6263
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12.008812
CT
Other
Enumeration date
04/27/2020
Last updated
12/01/2020
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