Christie Lee Vardhami
Nurse Practitioner - Psychiatric/Mental Health
420 N Main St
Bristol
, Connecticut 06010-4923
Christie Lee Vardhami
Nurse Practitioner - Psychiatric/Mental Health
420 N Main St
Bristol
, Connecticut 06010-4923
(860) 584-9962
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Christie Lee Vardhami
- 420 N Main St
- Bristol, CT
- Zip : 06010-4923
- Fax : (860) 584-9962
- Phone : (860) 583-5858
Second Address
- Christie Lee Vardhami
- 420 N Main St
- Bristol, CT
- Zip : 06010-4923
- Phone : (860) 583-5858
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 8433 | CT |
National Provider Identifier
| NPI | 1013564905 |
|---|---|
| Provider Name | Christie Lee Vardhami |
| First Address | Bristol, CT 06010-4923 |
| Second Address | Bristol, CT 06010-4923 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/08/2019 |
| Last Update Date | 22/11/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.