person
Ms. Charlene Roberta Thompson Criss, PA-C
Medical Physician Assistant in New London, Connecticut
NPI 1760469514

Charlene Roberta Thompson Criss is a Medical Physician Assistant based in Washington, CT and is specialized in Medical. Charlene Roberta Thompson Criss practices in New London, CT and has the professional credentials of PA-C. The NPI Number for Charlene Roberta Thompson Criss is 1760469514 and holds a License No. 1710 (Connecticut).

The current practice location address for Charlene Roberta Thompson Criss is 15 Mohegan Ave, New London, CT and can be reached out via phone at 860-701-6737 and via fax at 860-701-6475.

Location: 15 Mohegan Ave, New London, CT, 20593-7907
person
Provider Profile Details
NPI Number
1760469514
Provider Name
Charlene Roberta Thompson Criss
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
15 Mohegan Ave, New London, CT, 20593-7907
Phone Number
860-701-6737
Fax Number
860-701-6475
Provider Enumeration Date
12/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1051820 01 NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS
001831 01 CT PHYSICIAN ASSISTANT
institution
Provider Business Practice Location Address Details
Address
15 Mohegan Ave
City
State
Zip
06320
Phone Number
860-701-6737
Fax Number
860-701-6475
person
Provider Business Mailing Address Details
Address
15 Mohegan Ave
City
State
Zip
06320
Phone Number
860-701-6737
Fax Number
860-701-6475
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1710 (Minnesota)
Definition
Definition to come...
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