Individual
MS. NICOLE LYNNE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.O.
Contact information
Practice address
812 PARK AVE, BLOOMFIELD, CT 06002-2417
(860) 769-2020
(860) 769-2021
Mailing address
11 RUSSELL AVE, PLAINVILLE, CT 06062-2817
(860) 940-4829
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1855
CT
156FX1800X
Optician
DOP100067
MA
Other
Enumeration date
10/14/2021
Last updated
11/29/2023
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