Healthcare Provider Details

I. General information

NPI: 1346135993
Provider Name (Legal Business Name): CRISTINA P PEREIRA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2025
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

157 GOOSE LN STE 2
GUILFORD CT
06437-2100
US

IV. Provider business mailing address

18 ORCHARD HILL RD
BRANFORD CT
06405-4217
US

V. Phone/Fax

Practice location:
  • Phone: 203-701-8736
  • Fax: 860-957-2478
Mailing address:
  • Phone: 203-430-3316
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number12.014899
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: