SHADY TAVERAS

BRIDGEPORT, CT
NPI1730501727
Professional NameSHADY FEQUIERE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CT  14273)
Enumeration Date2014-01-10
Last Update Date2025-03-24
Business Address
SHADY TAVERAS PMHNP
346 DAYTON RD
BRIDGEPORT, CT 06606-3112
Phone number: 203-450-6515
Mailing Address
SHADY TAVERAS PMHNP
346 DAYTON RD
BRIDGEPORT, CT 06606-3112
Phone number: 203-450-6515