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Individual

MICHAEL VANCE WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
836 FARMINGTON AVE STE 109, WEST HARTFORD, CT 06119-1544
(203) 691-1685
(203) 891-6763
Mailing address
118 DEEPWOOD DR, AVON, CT 06001-3155

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12873
CT

Other

Enumeration date
03/06/2024
Last updated
02/27/2025
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