Henry, Michelle Marie
Henry, Michelle Marie is an individual health care provider with primary practice located at 20 Felicity Ln , Torrington CT 06790-6101. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Henry, Michelle Marie can be contacted via phone (860) 489-4144.Contact Information
Primary practice address
20 Felicity Ln
Torrington CT 06790-6101
Phone: (860) 489-4144
Fax: (860) 489-4412
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | E59540 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 003250 | Connecticut |
Profile Details
| NPI number | 1770636193 |
|---|---|
| LBN Legal business name | Henry, Michelle Marie |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Mar 3rd, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770636193 | NPPES |
| Other | 030250 | CT CARE | |
| Other | 358978 | CT CARE |
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