Individual
MONIQUE T MILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1250 SILVER ST, MIDDLETOWN, CT 06457-3946
(860) 346-0300
Mailing address
1250 SILVER ST, MIDDLETOWN, CT 06457-3946
(860) 346-0300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
003687
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
003687
CT
Other
Enumeration date
12/17/2007
Last updated
04/30/2021
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