Individual
MR. BRENT FAHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
96 DANBURY RD, RIDGEFIELD, CT 06877-4069
(203) 438-0874
Mailing address
96 DANBURY RD, RIDGEFIELD, CT 06877-4069
(203) 438-0874
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10273
CT
Other
Enumeration date
12/09/2021
Last updated
03/18/2022
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