LAURA PETIFORD PMHNP, LLC
NPI 1083110092
Nurse Practitioner - Psychiatric/Mental Health in Fairfield, CT

Q: What is Laura Petiford Pmhnp, LLC's NPI number?

The NPI number for Laura Petiford Pmhnp, LLC is 1083110092. It was assigned to this organization in the NPPES registry on March 30, 2018.

Q: What is Laura Petiford Pmhnp, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since March 30, 2018

1525 KINGS HWY STE 206, FAIRFIELD, CT 06824(203) 445-6238(203) 844-0179 Get Directions Write a Review

NPPES record last updated: March 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Laura Petiford Pmhnp, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURA PETIFORD PMHNP, LLC (NPI 1083110092) is a healthcare organization registered as a psychiatric/mental health in Fairfield, Connecticut and active in the NPI registry since March 2018. The organization lists Laura Petiford, Member, as its authorized official.

NPPES Registry Identity

NPI1083110092

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameLAURA PETIFORD PMHNP, LLC

Location Address1525 KINGS HWY STE 206Fairfield, CT 06824-5321

Mailing Address1525 Kings Hwy Ste 206Fairfield, CT 06824-5321

Phone(203) 445-6238

Fax(203) 844-0179

Organization SubpartNo

Authorized OfficialLaura PetifordMember · (203) 445-6238

Enumeration DateMarch 30, 2018

✔ NPI 1083110092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CT · 006417

1525 KINGS HWY STE 206, Fairfield, CT 06824

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEITH MICHAELSON

Marriage & Family Therapist

1525 KINGS HWY STE 206
FAIRFIELD, CT 06824

Greater Bridgeport Planning Region (203) 216-4742

JESSICA LEWIS LCSW

Social Worker (Clinical)

1525 KINGS HWY STE 206
FAIRFIELD, CT 06824

Greater Bridgeport Planning Region (203) 220-6595

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laura Petiford Pmhnp, LLC's NPI number?

The NPI number for Laura Petiford Pmhnp, LLC is 1083110092. It was assigned to this organization in the NPPES registry on March 30, 2018.

Where is Laura Petiford Pmhnp, LLC located?

Laura Petiford Pmhnp, LLC is located at 1525 Kings Hwy Ste 206, Fairfield, CT 06824. The listed phone number is (203) 445-6238.

What is Laura Petiford Pmhnp, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Laura Petiford Pmhnp, LLC was last updated on March 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.