Most Relevant Information
Provider Data
| NPI Number: | 1003592023 |
| Provider Name: | CAROLINE MEAD FARRELL |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 12019 |
Most Important Dates
| Enumeration Date: | 06/26/2023 |
| Last Updated: | 06/26/2023 |
Provider Practice Location
725 PARK AVE
BRIDGEPORT
CT
066044619
Practice Location Phone/Fax
| Phone: | 9084894847 |
| Fax: |
Provider Mailing Location
2 HOMESTEAD LN UNIT 212
GREENWICH
CT
068315048
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |