Individual
MRS. MICHELLE STOPPANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 LOVELY ST, AVON, CT 06001-2330
(860) 930-7186
Mailing address
411 LOVELY ST, AVON, CT 06001-2330
(860) 930-7186
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
6377
CT
363LG0600X
Gerontology Nurse Practitioner
6377
CT
363LP2300X
Primary Care Nurse Practitioner
6377
CT
Other
Enumeration date
11/12/2015
Last updated
12/28/2015
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