Individual
MICHAEL CHARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1680 ALBANY AVE, HARTFORD, CT 06105-1001
(860) 236-4511
Mailing address
281 MAIN ST, EAST HARTFORD, CT 06118-1823
(860) 569-5900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
109834
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7306
CT
Other
Enumeration date
03/25/2013
Last updated
03/27/2018
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