Individual
MR. ADAM MIKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
800 OLD MAIN ST STE 1A, ROCKY HILL, CT 06067-1522
(860) 478-6425
Mailing address
PO BOX 338, KENSINGTON, CT 06037-0338
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12.007342
CT
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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