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General NPI Number Information
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NPI Number | 1902739998
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Entity Type | Organization
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Legal Business Name | THE CONNECTICUT PSYCHIATRIC NURSE PRACTITIONER, PLLC
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 1 LIBERTY SQ STE 301
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City | NEW BRITAIN
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State | CT
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Zip | 06051-2637
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Country | US
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Telephone | 860-893-3131
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Fax | 860-777-0143
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Provider Business Mailing Address
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Address Line | 1 LIBERTY SQ STE 301
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City | NEW BRITAIN
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State | CT
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Zip | 06051-2637
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Country | US
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Telephone | 860-893-3131
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Fax | 860-777-0143
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Authorized Official
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Title or Position | OWNER
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Name | MS. NANCY CONCEPCION
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Credential | APRN
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Telephone | 860-893-3131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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