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Individual

MRS. AMIE MIRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
10 N MAIN ST, BRISTOL, CT 06010-8122
(888) 793-3500
Mailing address
10 N MAIN ST, BRISTOL, CT 06010-8122
(860) 793-3500

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12131
CT

Other

Enumeration date
08/11/2022
Last updated
12/18/2023
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