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Contact Information

CLARISSE FAIRBANKS, APRN
18 JUNIPER LN
WEST HARTFORD, CT06117-1126
 Phone: 860-414-4787
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health, Adult

364SP0809X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for CLARISSE FAIRBANKS · (Female)

NPI # 1538105135
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 06/21/2006
Last updated 06/25/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 003066
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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