Healthcare Provider Details

I. General information

NPI: 1821642786
Provider Name (Legal Business Name): MARY S BRIGGS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2019
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 UNQUOWA PL
FAIRFIELD CT
06824-5014
US

IV. Provider business mailing address

38 FERN VALLEY RD
WESTON CT
06883-1905
US

V. Phone/Fax

Practice location:
  • Phone: 203-638-3394
  • Fax:
Mailing address:
  • Phone: 908-447-4699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number8350
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: