Healthcare Provider Details

I. General information

NPI: 1922067388
Provider Name (Legal Business Name): MOLLY FEY PERSINGER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARY CHRISTINE FEY

II. Dates (important events)

Enumeration Date: 03/22/2006
Last Update Date: 09/27/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 CENTERPOINT DR STE 215
MIDDLETOWN CT
06457-7568
US

IV. Provider business mailing address

101 CENTERPOINT DR STE 215
MIDDLETOWN CT
06457-7568
US

V. Phone/Fax

Practice location:
  • Phone: 888-964-6681
  • Fax: 203-463-5400
Mailing address:
  • Phone: 888-964-6681
  • Fax: 203-463-5400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number002912
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: