Individual
MRS. MICHELLE EILEEN ZACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, APRN
Contact information
Practice address
24 STEVENS ST, NORWALK, CT 06850-3852
(203) 852-2276
Mailing address
27 HIGH RIDGE RD, SHELTON, CT 06484-5008
(203) 521-1966
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
72128
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
93350
CT
Other
Enumeration date
05/14/2014
Last updated
02/06/2023
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