person
Mikayla Mary Luise, PA-C
Medical Physician Assistant in Hartford, Connecticut
NPI 1922675883

Mikayla Mary Luise is a Medical Physician Assistant based in Farmington, CT and is specialized in Medical. Mikayla Mary Luise practices in Hartford, CT and has the professional credentials of PA-C. The NPI Number for Mikayla Mary Luise is 1922675883 and holds a License No. 5243 (Connecticut).

The current practice location address for Mikayla Mary Luise is 114 Woodland St, Hartford, CT and can be reached out via phone at 860-714-4000.

Location: 114 Woodland St, Hartford, CT, 06032-1406
person
Provider Profile Details
NPI Number
1922675883
Provider Name
Mikayla Mary Luise
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
114 Woodland St, Hartford, CT, 06032-1406
Phone Number
860-714-4000
Fax Number
Provider Enumeration Date
06/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
114 Woodland St
City
State
Zip
06105-1208
Phone Number
860-714-4000
Fax Number
person
Provider Business Mailing Address Details
Address
114 Woodland St
City
State
Zip
06105-1208
Phone Number
860-714-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5243 (Connecticut)
Definition
Definition to come...
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