Micinilio, Catherine G

Micinilio, Catherine G is an individual health care provider with primary practice located at 7003 Main St , Stratford CT 06614. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Micinilio, Catherine G can be contacted via phone (203) 257-6647.

Contact Information

Primary practice address
7003 Main St Stratford CT 06614
Phone: (203) 257-6647
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 001098 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 001098 Connecticut

Profile Details

NPI number 1932295656
LBN Legal business name Micinilio, Catherine G
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Dec 13th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932295656 NPPES
Connecticut Other 001098 CT APRN LICENCE

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