NICKESHA ROMAINE MCKENZIE

PUTNAM, CT
NPI1881223394
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CT  9824)
Additional Taxonomies163WP0808X Registered Nurse, Psych/Mental Health
(Licence: RI  APRN02290)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: RI  CAPRN02290)
Enumeration Date2020-04-06
Last Update Date2024-02-05
Business Address
NICKESHA ROMAINE MCKENZIE PMHNP
202 POMFRET ST
PUTNAM, CT 06260-1833
Phone number: 860-963-7917
Mailing Address
NICKESHA ROMAINE MCKENZIE PMHNP
40 MANSFIELD AVE
WILLIMANTIC, CT 06226-2018
Phone number: 860-450-7471