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Individual

MS. MICHELE NADINE LITWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP, CARN-AP

Contact information

Practice address
30 W MAIN STREET, NIANTIC, CT 06357
(860) 691-0873
(860) 691-0876
Mailing address
30 W MAIN STREET, NIANTIC, CT 06357
(860) 691-0873
(860) 691-0876

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
003399
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004269701
CT
Enumeration date
05/18/2006
Last updated
11/23/2016
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