Organization
INTEGRATED BEHAVIORAL HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE NWIGWE DNP, PMHNP-BC, APRN (APRN, OWNER)
(860) 424-6042
Entity
Organization
Contact information
Practice address
80 SHUNPIKE RD STE 101-B2, CROMWELL, CT 06416-4401
(860) 424-6042
Mailing address
80 SHUNPIKE RD STE 101-B2, CROMWELL, CT 06416-4401
(860) 424-6042
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4747
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4747
LICENSE
CT
Enumeration date
07/13/2018
Last updated
07/04/2019
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