Organization
MINDFUL INTEGRATIVE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY JOSEPH APRN (PSYCHIATRIC NURSE PRACTITIONER)
(203) 687-5668
Entity
Organization
Contact information
Practice address
1389 W MAIN ST, WATERBURY, CT 06708-3104
(203) 687-5668
(203) 729-4444
Mailing address
1389 W MAIN ST, WATERBURY, CT 06708-3104
(203) 687-5668
(203) 729-4444
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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