Provider Demographics
NPI:1427750231
Name:TRANQUIL PLLC
Entity type:Organization
Organization Name:TRANQUIL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BRITTON
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:203-704-0455
Mailing Address - Street 1:178 GRASSLANDS RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06488-3213
Mailing Address - Country:US
Mailing Address - Phone:203-704-0455
Mailing Address - Fax:203-405-6358
Practice Address - Street 1:304 FEDERAL RD
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:CT
Practice Address - Zip Code:06804-2418
Practice Address - Country:US
Practice Address - Phone:203-704-0455
Practice Address - Fax:203-405-6358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty