Active NPIIndividual provider

Michelle Malz

Nurse Practitioner, Primary Care in Manchester, Connecticut

NPI Number1033805296
Practice location
315 E Center St, Manchester, CT 06040-3315
Fax
—
Last updated
March 18, 2025

Michelle Malz is a Nurse Practitioner, Primary Care based in Manchester, CT. Michelle Malz practices in Manchester, CT. The NPI Number for Michelle Malz is 1033805296 and holds a License No. 11881 (CT). The current practice location address for Michelle Malz is 315 E Center St, Manchester, CT 06040-3315 and can be reached out via phone at 860-533-0179.

Provider Profile Details

NPI Number
1033805296
Provider Name
Michelle Malz
Provider Entity Type
Individual
Gender
Female
Address
315 E Center St, Manchester, CT 06040-3315
Phone Number
860-533-0179
Primary Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X
Sole Proprietor
No
Provider Enumeration Date
April 12, 2023
Last Update Date
March 18, 2025
Certification Date
March 18, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
315 E Center St
Manchester, CT 06040-3315
Zip
06040-3315
Phone Number
860-533-0179
Manchester, CT 06040Get directions →

Provider Business Mailing Address Details

Address
47B Carillon Dr
Rocky Hill, CT 06067-2501
City
Rocky Hill
State
CT
Zip
06067-2501

License Information

License Number (1)
11881
License State (1)
CT
Taxonomy (1)
Nurse Practitioner, Primary Care · 363LP2300X · Primary
License Number (2)
143177
License State (2)
CT
Taxonomy (2)
Registered Nurse · 163W00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michelle Malz?

The NPI number of Michelle Malz is 1033805296. It was assigned on April 12, 2023 and is currently active in the NPPES registry.

What is the specialty of Michelle Malz?

Michelle Malz is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in CT under license number 11881.

Where does Michelle Malz practice?

The practice location is 315 E Center St, Manchester, CT 06040-3315. The office can be reached at 860-533-0179 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033805296 directly on the NPPES registry website.

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