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Tara Moseni
Psychiatric/Mental Health Nurse Practitioner in Bethlehem, Connecticut
NPI 1477334456

Tara Moseni is a Psychiatric/Mental Health Nurse Practitioner based in South Windsor, CT and is specialized in Psychiatric/Mental Health. Tara Moseni practices in Bethlehem, CT. The NPI Number for Tara Moseni is 1477334456 and holds a License No. 12426 (Connecticut).

The current practice location address for Tara Moseni is 64 Double Hill Rd, Bethlehem, CT and can be reached out via phone at 203-884-8652.

Location: 64 Double Hill Rd, Bethlehem, CT, 06074-3753
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477334456
Provider Name
Tara Moseni
Credential
Provider Entity Type
Individual
Gender
Female
Address
64 Double Hill Rd, Bethlehem, CT, 06074-3753
Phone Number
203-884-8652
Fax Number
Provider Enumeration Date
10/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
64 Double Hill Rd
City
Bethlehem
State
Connecticut
Zip
06751-1101
Phone Number
203-884-8652
Fax Number
person
Provider Business Mailing Address Details
Address
64 Double Hill Rd
City
Bethlehem
State
Connecticut
Zip
06751-1101
Phone Number
203-884-8652
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
12426 (Connecticut)
Definition
Definition to come...
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