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Individual

JENNIFER RICHELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, PMHNP-BC, APRN

Contact information

Practice address
2389 MAIN ST STE 100, GLASTONBURY, CT 06033-4617
(860) 479-1684
(463) 464-3753
Mailing address
PO BOX 4675, WALLINGFORD, CT 06492-7568
(860) 479-1684

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12.011181
CT

Other

Enumeration date
11/17/2022
Last updated
12/20/2024
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