Individual
MIKAYLA COLLEEN SURINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
950 YALE AVE STE 39, WALLINGFORD, CT 06492-1884
(203) 265-9600
Mailing address
45 TURKEY HILL RD, NEWINGTON, CT 06111-4424
(845) 637-0952
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13475
CT
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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