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Nicole Muckenhirn
Student in an Organized Health Care Education/Training Program in Moodus, Connecticut
NPI 1558980680

Nicole Muckenhirn is a Student in an Organized Health Care Education/Training Program based in Moodus, CT. Nicole Muckenhirn practices in Moodus, CT. The NPI Number for Nicole Muckenhirn is 1558980680 and holds a License No. (Connecticut).

The current practice location address for Nicole Muckenhirn is 121 E Haddam Colchester Tpke, Moodus, CT and can be reached out via phone at 860-204-1340.

Location: 121 E Haddam Colchester Tpke, Moodus, CT, 06469-1240
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558980680
Provider Name
Nicole Muckenhirn
Credential
Provider Entity Type
Individual
Gender
Female
Address
121 E Haddam Colchester Tpke, Moodus, CT, 06469-1240
Phone Number
860-204-1340
Fax Number
Provider Enumeration Date
04/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
121 E Haddam Colchester Tpke
City
Moodus
State
Connecticut
Zip
06469-1240
Phone Number
860-204-1340
Fax Number
person
Provider Business Mailing Address Details
Address
121 E Haddam Colchester Tpke
City
Moodus
State
Connecticut
Zip
06469-1240
Phone Number
860-204-1340
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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