Individual
MICHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2247 E MAIN ST, WATERBURY, CT 06705-2604
(203) 527-7269
Mailing address
2247 E MAIN ST, WATERBURY, CT 06705-2604
(203) 527-7269
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
012063
CT
Other
Enumeration date
07/10/2023
Last updated
03/14/2025
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