Individual
JOAN L RISHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
342 N MAIN ST STE 350, WEST HARTFORD, CT 06117-2500
(860) 296-4022
(860) 772-0095
Mailing address
30 JORDAN LN, WETHERSFIELD, CT 06109-1278
(860) 263-0253
(860) 263-0262
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000552
CT
363AM0700X
Medical Physician Assistant
0606
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000552
STATE PA LICENSE NUMBER
CT
Enumeration date
09/20/2006
Last updated
01/19/2023
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