Desyr, Iselande
Desyr, Iselande is an sole proprietor health care provider with primary practice located at 2875 Main Street Suite 2A, Stratford CT 06614-4979. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Desyr, Iselande can be contacted via phone (929) 447-2053.Contact Information
Primary practice address
2875 Main Street Suite 2A
Stratford CT 06614-4979
Phone: (929) 447-2053
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 6914 | Connecticut |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 6914 | Connecticut |
Profile Details
NPI number | 1487190278 |
---|---|
LBN Legal business name | Desyr, Iselande |
Credentials | DNP PMHNP-BC FNP-BC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 17th, 2017 |
Last updated | Dec 8th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487190278 | NPPES |
Connecticut | MEDICAID | 6914 |
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