Healthcare Provider Details

I. General information

NPI: 1053247767
Provider Name (Legal Business Name): CAMRYN JEAN MCGUIRE RN, MSN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 S MAIN ST APT F
BRANFORD CT
06405-3817
US

IV. Provider business mailing address

75 S MAIN ST APT F
BRANFORD CT
06405-3817
US

V. Phone/Fax

Practice location:
  • Phone: 203-901-0095
  • Fax:
Mailing address:
  • Phone: 203-901-0095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number223827
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: