Rory V Condon
Nurse Practitioner - Psychiatric/Mental Health
130 Division St
Derby
, Connecticut 06418-1326
Rory V Condon
Nurse Practitioner - Psychiatric/Mental Health
130 Division St
Derby
, Connecticut 06418-1326
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Rory V Condon
- 66 Chestnut St
- Branford, CT
- Zip : 06405-3749
- Phone :
Second Address
- Rory V Condon
- 130 Division St
- Derby, CT
- Zip : 06418-1326
- Phone : (203) 887-0604
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 6636 | CT |
National Provider Identifier
| NPI | 1023464138 |
|---|---|
| Provider Name | Rory V Condon |
| First Address | Branford, CT 06405-3749 |
| Second Address | Derby, CT 06418-1326 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/05/2016 |
| Last Update Date | 09/01/2018 |
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.