NPI | 1932605318 |
---|---|
Entity Type | Organization |
Authorized Contact | GRETCHEN T. MICHAELSON Ap RN 860-263-3603 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 003107) |
Enumeration Date | 2018-04-03 |
Last Update Date | 2018-04-03 |