# MICHAEL OTOOLE DNP APRN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Michael OToole LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881108496
- **Authorized official:** MICHAEL OTOOLE APRN (OWNER)
- **Authorized official phone:** (203) 515-8185

## Contact information

- **Practice address:** 2505 MAIN ST STE 208, STRATFORD, CT 06615-5813
- **Practice address phone:** (203) 368-4291
- **Mailing address:** 55 NASH LN, BRIDGEPORT, CT 06605-3181
- **Mailing address phone:** (203) 368-4291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 007178 | CT | Yes |

## Other

- **Enumeration date:** 11/20/2017
- **Last updated:** 11/20/2017