Individual
MICHELLE S KODUAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
400 CAPITAL BLVD, ROCKY HILL, CT 06067-3576
(860) 221-0791
Mailing address
9900 BREN RD E, MINNETONKA, MN 55343-9664
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
119083
CT
363LF0000X
Family Nurse Practitioner
Primary
7896
CT
Other
Enumeration date
09/08/2018
Last updated
02/04/2021
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