Mary Catherine Egan Mieczkowski APRN PNP BC

NPI 1679736870 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1679736870
Gender Female
Enumeration Date 07/08/2008
Last Updated 07/08/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
176 BABCOCK STREET
MARIA COLON SANCHEZ ELEMENTARY SCHOOL SCHOOL BASED HEAL
HARTFORD CT, 06106, US
Phone (860) 695-4940
Fax (860) 560-3493
Business Location
960 MAIN STREET
HARTFORD PUBLIC SCHOOLS SCHOOL BASED HEALTH CENTERS
HARTFORD CT, 06103, US
Phone (860) 695-8780
Fax (860) 722-8630
Toxanomy
Taxonomy Code 363LP0200X
License State Connecticut
License Number 002742
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According to our database, Ms. Mary Catherine Egan Mieczkowski APRN PNP BC NPI is 1679736870, taxonomy code is 363LP0200X and license number is 002742, license state is located at Connecticut. Mary Catherine Egan Mieczkowski APRN PNP BC physically located at 176 Babcock Street, Hartford CT, 06106. NPI Number Mary Catherine Egan Mieczkowski APRN PNP BC has the Individual type.

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1679736870 NPI number is provided on an as is basis without warranty of any kind. 1679736870 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Catherine Egan Mieczkowski APRN PNP BC are for informational purposes only.