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Paul Niedbala
Family Nurse Practitioner in Pawcatuck, Connecticut
NPI 1194474122

Paul Niedbala is a Family Nurse Practitioner based in Pawcatuck, CT and is specialized in Family. Paul Niedbala practices in Pawcatuck, CT. The NPI Number for Paul Niedbala is 1194474122 and holds a License No. 10296 (Connecticut).

The current practice location address for Paul Niedbala is 91 Voluntown Rd, Pawcatuck, CT and can be reached out via phone at 860-599-5477.

Location: 91 Voluntown Rd, Pawcatuck, CT, 06379-1345
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194474122
Provider Name
Paul Niedbala
Credential
Provider Entity Type
Individual
Gender
Male
Address
91 Voluntown Rd, Pawcatuck, CT, 06379-1345
Phone Number
860-599-5477
Fax Number
Provider Enumeration Date
03/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
91 Voluntown Rd
City
Pawcatuck
State
Connecticut
Zip
06379-1389
Phone Number
860-599-5477
Fax Number
person
Provider Business Mailing Address Details
Address
91 Voluntown Rd
City
Pawcatuck
State
Connecticut
Zip
06379-1389
Phone Number
860-599-5477
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
10296 (Connecticut)
Definition
Definition to come...
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