Individual
SARA CATHLEEN NICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C, APRN
Contact information
Practice address
330 POMFRET ST, PUTNAM, CT 06260-1854
(860) 928-2736
Mailing address
244 WARRENVILLE RD, MANSFIELD CENTER, CT 06250-1128
(860) 208-1429
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7201
CT
Other
Enumeration date
09/01/2017
Last updated
03/28/2019
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