Individual
VANESSA REID MICAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 245-5132
Mailing address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 245-5132
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
003331
CT
Other
Enumeration date
08/04/2006
Last updated
11/16/2021
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