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Millicent M Malcolm, APRN
Gerontology Nurse Practitioner in Middletown, Connecticut
NPI 1255418414

Millicent M Malcolm is a Gerontology Nurse Practitioner based in Middletown, CT and is specialized in Gerontology. Millicent M Malcolm practices in Middletown, CT and has the professional credentials of APRN. The NPI Number for Millicent M Malcolm is 1255418414 and holds a License No. 002258 (Connecticut).

The current practice location address for Millicent M Malcolm is 520 Saybrook Rd, Middletown, CT and can be reached out via phone at 860-344-1801 and via fax at 860-358-8657.

Location: 520 Saybrook Rd, Middletown, CT, 06457-3654
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255418414
Provider Name
Millicent M Malcolm
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
520 Saybrook Rd, Middletown, CT, 06457-3654
Phone Number
860-344-1801
Fax Number
860-358-8657
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4208296 05 CT
004208296 05 CT
institution
Provider Business Practice Location Address Details
Address
520 Saybrook Rd
City
Middletown
State
Connecticut
Zip
06457-4700
Phone Number
860-344-1801
Fax Number
860-358-8657
person
Provider Business Mailing Address Details
Address
520 Saybrook Rd
City
Middletown
State
Connecticut
Zip
06457-4700
Phone Number
860-344-1801
Fax Number
860-358-8657
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
002258 (Connecticut)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
002258 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
002258 (Connecticut)
Definition
Definition to come...
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