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Contact Information

JUDITH C DURHAM, APRN
682 PROSPECT AVE
HARTFORD, CT06105-4238
 Phone: 860-524-6598
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health, Adult

364SP0809X 89 Certified Clinical Nurse Specialist
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for JUDITH C DURHAM · (Female)

NPI # 1275726978
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 08/26/2007
Last updated 08/26/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 000451
  • CT License # E32090
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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