IndividualActive
Danil Anisimov
NPI 1114150984 · Psychiatric/Mental Health Nurse Practitioner · Old Saybrook, CT
Provider details
- NPI number
- 1114150984
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 4165 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
20 Research Pkwy
Old Saybrook, CT 06475-4214
Phone: (800) 370-3651
Fax: (860) 510-0020
Approximate (ZIP-level) locationGet directions
Mailing address
31 Richards Grove Rd
Quaker Hill, CT 06375-1524
Registry dates
- Enumerated
- 2009-08-27
- Last updated
- 2017-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.