NPI | 1104302033 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE NWIGWE Ap RN, Owner 860-424-6042 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 4747) |
Enumeration Date | 2018-07-13 |
Last Update Date | 2019-07-04 |