# MRS. MICHELLE MARIE HENRY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1770636193
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | E59540 | CT | — |
| 363LP0200X | Pediatric Nurse Practitioner | 003250 | CT | Yes |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 03/03/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 030250 | CT CARE | — |
| 01 | — | 358978 | PREFERRED ONE | — |