Individual
CHRISTINE MALCOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 MAGAURAN DR STE 3, STAFFORD SPRINGS, CT 06076-4040
(860) 684-5438
Mailing address
7 MAGAURAN DR STE 3, STAFFORD SPRINGS, CT 06076-4040
(860) 684-5438
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9865
CT
363LA2100X
Acute Care Nurse Practitioner
9865
CT
363LA2200X
Adult Health Nurse Practitioner
9865
CT
363LG0600X
Gerontology Nurse Practitioner
9865
CT
Other
Enumeration date
08/26/2021
Last updated
07/21/2023
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