Individual
MRS. GRETCHEN TOUMA MICHAELSON
Active
Individual
MRS. GRETCHEN TOUMA MICHAELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
074698
CT
163WC0200X
Critical Care Medicine Registered Nurse
241128
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
003107
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030107
CONNECTICARE
—
01
—
2V5468
HEALTHNET
—
Enumeration date
07/07/2006
Last updated
07/17/2018
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