# MICHELLE VAN DUINEN APRN PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952959785
- **Authorized official:** MICHELLE VAN DUINEN APRN (OWNER)
- **Authorized official phone:** (860) 245-5811

## Contact information

- **Practice address:** 107 WILCOX RD STE 105, STONINGTON, CT 06378-2614
- **Practice address phone:** (860) 245-5811
- **Mailing address:** 107 WILCOX RD STE 105, STONINGTON, CT 06378-2614
- **Mailing address phone:** (860) 245-5811

## Taxonomy

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

## Other

- **Enumeration date:** 08/26/2019
- **Last updated:** 08/26/2019