Fairbanks, Clarisse
Fairbanks, Clarisse is an sole proprietor health care provider with primary practice located at 18 Juniper Ln , West Hartford CT 06117-1126. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Fairbanks, Clarisse can be contacted via phone (860) 414-4787.Contact Information
Primary practice address
18 Juniper Ln
West Hartford CT 06117-1126
Phone: (860) 414-4787
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult | 364SP0809X | 003066 | Connecticut |
Profile Details
| NPI number | 1538105135 |
|---|---|
| LBN Legal business name | Fairbanks, Clarisse |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Jun 25th, 2024 - about 5 months 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.
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