Individual
NICOLE LOUISE ROBITAILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
326 WASHINGTON ST, NORWICH, CT 06360-2740
(860) 326-8661
Mailing address
326 WASHINGTON ST, NORWICH, CT 06360-2740
(860) 889-8331
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
6924
CT
363AS0400X
Surgical Physician Assistant
PA2084
ME
Other
Enumeration date
05/01/2019
Last updated
03/11/2025
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