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Katherine Miciak
Family Nurse Practitioner in Middletown, Connecticut
NPI 1649892274

Katherine Miciak is a Family Nurse Practitioner based in Middletown, CT and is specialized in Family. Katherine Miciak practices in Middletown, CT. The NPI Number for Katherine Miciak is 1649892274 and holds a License No. 8870 (Connecticut).

The current practice location address for Katherine Miciak is 1 Aircraft Rd, Middletown, CT and can be reached out via phone at 860-344-5172.

Location: 1 Aircraft Rd, Middletown, CT, 06457-5723
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649892274
Provider Name
Katherine Miciak
Credential
Provider Entity Type
Individual
Gender
Female
Address
1 Aircraft Rd, Middletown, CT, 06457-5723
Phone Number
860-344-5172
Fax Number
Provider Enumeration Date
05/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Aircraft Rd
City
Middletown
State
Connecticut
Zip
06457-5723
Phone Number
860-344-5172
Fax Number
person
Provider Business Mailing Address Details
Address
1 Aircraft Rd
City
Middletown
State
Connecticut
Zip
06457-5723
Phone Number
860-344-5172
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
8870 (Connecticut)
Definition
Definition to come...
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