Individual
MS. MICHELLE MARIE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-6004
Mailing address
101 KISSAWAUG RD, MIDDLEBURY, CT 06762-3230
(203) 510-9421
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
095549
CT
163WE0003X
Emergency Registered Nurse
095549
CT
363L00000X
Nurse Practitioner
6216
CT
363LF0000X
Family Nurse Practitioner
Primary
6216
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2015
Last updated
04/24/2026
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