Individual
MRS. MELINDA ETHEL BROCKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
24 STEVENS ST, NORWALK, CT 06850-3852
(203) 852-2148
(203) 852-3109
Mailing address
8 LOWLYN DR, WESTPORT, CT 06880-1829
(203) 226-0650
(203) 852-3109
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
003545
CT
Other
Enumeration date
06/13/2007
Last updated
01/07/2009
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