Individual
MIKKI MEADOWS-OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1450 CHAPEL ST., SAINT RAPHAEL FACULTY PHYSICIANS, NEW HAVEN, CT 06511
(203) 789-4074
(203) 867-5534
Mailing address
PO BOX 18263, SAINT RAPHAEL FACULTY PHYSICIANS, BRIDGEPORT, CT 06601-3263
(508) 595-0531
(508) 829-5367
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
001976
CT
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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