Individual
MELANIE MOLLICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
469 MIGEON AVE, COMMUNITY HEALTH & WELLNESS CENTER, TORRINGTON, CT 06790-4643
(860) 489-0931
(860) 489-3325
Mailing address
469 MIGEON AVE, COMMUNITY HEALTH & WELLNESS CENTER, TORRINGTON, CT 06790-4643
(860) 489-0931
(860) 489-3325
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
002962
CT
363LC1500X
Community Health Nurse Practitioner
002962
CT
363LF0000X
Family Nurse Practitioner
Primary
002962
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004247872
—
CT
01
—
071834
MEDICARE
—
Enumeration date
08/10/2006
Last updated
10/30/2017
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