Individual
MELISSA MILVENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APRN
Contact information
Practice address
1 SHAWS CV, NEW LONDON, CT 06320-4902
(860) 447-8304
Mailing address
1 SHAWS CV, NEW LONDON, CT 06320-4902
(860) 447-8304
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8898
CT
Other
Enumeration date
05/12/2020
Last updated
02/04/2021
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