Healthcare Provider Details

I. General information

NPI: 1255172706
Provider Name (Legal Business Name): EMILY FOLAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2024
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 STORRS RD
MANSFIELD CENTER CT
06250-1638
US

IV. Provider business mailing address

207 STORRS RD
MANSFIELD CENTER CT
06250-1638
US

V. Phone/Fax

Practice location:
  • Phone: 860-942-8826
  • Fax:
Mailing address:
  • Phone: 860-942-8826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number16695
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: