Koduah, Michelle S

Koduah, Michelle S is an individual health care provider with primary practice located at 400 Capital Blvd , Rocky Hill CT 06067-3576. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Koduah, Michelle S can be contacted via phone (860) 221-0791.

Contact Information

Primary practice address
400 Capital Blvd Rocky Hill CT 06067-3576
Phone: (860) 221-0791
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 119083 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 7896 Connecticut

Profile Details

NPI number 1033692819
LBN Legal business name Koduah, Michelle S
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2018
Last updated Feb 4th, 2021 - about 3 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.

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