Individual
MS. MARCI A. MCNICOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRNCNS BC
Contact information
Practice address
21 MONTAUK AVE, NEW LONDON, CT 06320
(860) 433-9640
(860) 333-1390
Mailing address
21 MONTAUK AVE, NEW LONDON, CT 06320-4906
(860) 271-4783
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7336
CT
Other
Enumeration date
04/03/2012
Last updated
03/14/2019
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