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MICHELLE L ALLYN APRN

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1891205316

Individual Registrant:
 MICHELLE L ALLYN APRN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
192 E CENTER ST  MANCHESTER, CT 06040-5210 US
Tel: 860-649-3243  Fax: --

Contact information for business:
40 REX RD  LISBON, CT 06351-2821 US
Tel: --  Fax: --

Registration Information:
NPI: 1891205316
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CT12.007032

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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