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Orawan Gardner
Psychiatric/Mental Health Nurse Practitioner in Derby, Connecticut
NPI 1710469333

Orawan Gardner is a Psychiatric/Mental Health Nurse Practitioner based in New Haven, CT and is specialized in Psychiatric/Mental Health. Orawan Gardner practices in Derby, CT. The NPI Number for Orawan Gardner is 1710469333 and holds a License No. 7801 (Connecticut).

The current practice location address for Orawan Gardner is 130 Division St, Derby, CT and can be reached out via phone at 203-735-7421.

Location: 130 Division St, Derby, CT, 06511-3403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710469333
Provider Name
Orawan Gardner
Credential
Provider Entity Type
Individual
Gender
Female
Address
130 Division St, Derby, CT, 06511-3403
Phone Number
203-735-7421
Fax Number
Provider Enumeration Date
08/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
130 Division St
City
Derby
State
Connecticut
Zip
06418-1326
Phone Number
203-735-7421
Fax Number
person
Provider Business Mailing Address Details
Address
130 Division St
City
Derby
State
Connecticut
Zip
06418-1326
Phone Number
203-735-7421
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.
7801 (Connecticut)
Definition
Definition to come...
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