Individual
KAREN ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
630 GEORGE ST APT 1B, NEW HAVEN, CT 06511-5361
(203) 350-9530
(802) 541-3801
Mailing address
2335 DIXWELL AVE STE 2, HAMDEN, CT 06514-2100
(203) 350-9530
(802) 541-3801
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
162109
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13302
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
406570
NY
Other
Enumeration date
04/18/2024
Last updated
04/22/2026
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