Individual
MALLORY SIMPSON BREITMAIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
119 S MAIN ST, MINUTECLINIC, COLCHESTER, CT 06415-1456
(401) 714-5502
Mailing address
71 LEAFWOOD LN, # 297, GROTON, CT 06340-6701
(401) 714-5502
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5210
CT
Other
Enumeration date
11/02/2012
Last updated
02/10/2023
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