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Individual

NISHITA MAYETTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
353 MAIN ST, MANCHESTER, CT 06040-4145
(860) 649-3477
Mailing address
353 MAIN ST, MANCHESTER, CT 06040-4145

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12.012865
CT

Other

Enumeration date
02/07/2024
Last updated
02/07/2024
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