Michelle D Widdows, PMHNP-C
Nurse Practitioner, Psych/Mental Health in Trumbull, Connecticut
1669830139- Practice location
- 105 Technology Dr Fl 2, Trumbull, CT 06611-6348
- Phone
- 475-228-0961
- Fax
- 203-283-6490
- Last updated
- June 2, 2025
Michelle Dara Widdows is a Nurse Practitioner, Psych/Mental Health based in Trumbull, CT. Michelle Dara Widdows practices in Trumbull, CT and has the professional credentials of PMHNP-C. The NPI Number for Michelle Dara Widdows is 1669830139 and holds a License No. 606396 (NY). The current practice location address for Michelle Dara Widdows is 105 Technology Dr Fl 2, Trumbull, CT 06611-6348 and can be reached out via phone at 475-228-0961 and via fax at 203-283-6490.
Provider Profile Details
- NPI Number
- 1669830139
- Provider Name
- Michelle Dara Widdows
- Credential
- PMHNP-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 105 Technology Dr Fl 2, Trumbull, CT 06611-6348
- Phone Number
- 475-228-0961
- Fax Number
- 203-283-6490
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Other Names
- Michelle Kaplin, RN (Former Name)
- Provider Enumeration Date
- January 29, 2016
- Last Update Date
- June 2, 2025
- Certification Date
- June 2, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 105 Technology Dr Fl 2
Trumbull, CT 06611-6348 - City
- Trumbull
- State
- Connecticut
- Zip
- 06611-6348
- Phone Number
- 475-228-0961
- Fax Number
- 203-283-6490
Provider Business Mailing Address Details
- Address
- 105 Technology Dr Fl 2
Trumbull, CT 06611-6348 - City
- Trumbull
- State
- CT
- Zip
- 06611-6348
- Phone Number
- 475-228-0961
- Fax Number
- 203-283-6490
License Information
- License Number (1)
- 606396
- License State (1)
- NY
- Taxonomy (1)
- Registered Nurse · 163W00000X
- License Number (2)
- 10.146391
- License State (2)
- CT
- Taxonomy (2)
- Registered Nurse · 163W00000X
- License Number (3)
- 12.014410
- License State (3)
- CT
- Taxonomy (3)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Michelle D Widdows, PMHNP-C?
The NPI number of Michelle D Widdows, PMHNP-C is 1669830139. It was assigned on January 29, 2016 and is currently active in the NPPES registry.
What is the specialty of Michelle D Widdows, PMHNP-C?
Michelle D Widdows, PMHNP-C is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NY under license number 606396.
Where does Michelle D Widdows, PMHNP-C practice?
The practice location is 105 Technology Dr Fl 2, Trumbull, CT 06611-6348. The office can be reached at 475-228-0961 (phone) or 203-283-6490 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669830139 directly on the NPPES registry website.