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Individual

MICHELE A MAREK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
41 N MAIN ST, STE 300, WEST HARTFORD, CT 06107-1972
(860) 313-0448
(860) 313-1464
Mailing address
41 N MAIN ST, STE 300, WEST HARTFORD, CT 06107-1972
(860) 313-0448
(860) 313-1464

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
03-274181
CT
363L00000X
Nurse Practitioner
001184
CT
363LF0000X
Family Nurse Practitioner
Primary
1184
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001184
CONNECTICARE
CT
05
004272100
CT
Enumeration date
09/11/2006
Last updated
06/22/2021
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