Douglas, Gweneth M

Douglas, Gweneth M is an individual health care provider with primary practice located at 675 Tower Ave Ste 301 , Hartford CT 06112-1274. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Douglas, Gweneth M can be contacted via phone (860) 714-8275.

Contact Information

Primary practice address
675 Tower Ave Ste 301 Hartford CT 06112-1274
Phone: (860) 714-8275
Fax: (860) 714-8591
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 7942 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 7942 Connecticut

Profile Details

NPI number 1083172811
LBN Legal business name Douglas, Gweneth M
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2019
Last updated Jun 30th, 2020 - about 6 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.

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