Nancy Trevor
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Weatogue, CT
NPI 1962563403 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962563403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 001989 (CT)
- Practice address
- 2 Brownstone Turn
Weatogue, CT 06089-9678 - Phone
- (860) 408-9171
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001989 | CT | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Center for Family Service and Mental Health, Inc. | Past | Accepting new patients | |
| Medoptions Behavioral Health Assoc, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 001989 | CT | Yes |
Addresses
Primary practice location
2 Brownstone Turn
Weatogue, CT 06089-9678
Mailing address
2 Brownstone Turn
Weatogue, CT 06089-9678
Phone (860) 408-9171
Other providers in Weatogue, CT
- Nicole Thibault
- Tolk Chiropractic & Wellness Center
- David Lloyd Tolk
- Lloyd Andrew Tolk
- Robert Raphael Toscano
- Vision Center of Farmington Valley LLC
- Ryan Wolf
- Lisa J. Woods
- Maureen F Woronecki
- Nancy Reeve Yannopoulos
All providers in Weatogue, CT · Psychiatric/Mental Health Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.