Individual
MS. ELIZABETH JEANNE MCKINNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
162 WASHINGTON AVE, NORTH HAVEN, CT 06473-1711
(203) 239-4071
Mailing address
143 S END AVE, DURHAM, CT 06422-2903
(860) 349-1182
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
E34419
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236007
—
CT
Enumeration date
07/19/2006
Last updated
02/02/2016
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