Individual
REBECCA WIKE MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
29 HOSPITAL HILL RD, SUITE 1600, SHARON, CT 06069-2095
(860) 364-5585
Mailing address
29 HOSPITAL HILL RD, SUITE 1600, PO BOX 786, SHARON, CT 06069-2095
(860) 364-5585
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
004080
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004080
APRN LICENSE
CT
Enumeration date
05/14/2009
Last updated
01/15/2014
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