Individual
MS. EMILY MELLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-4402
Mailing address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-4402
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6219
CT
Other
Enumeration date
08/06/2015
Last updated
09/05/2015
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