Individual
MILLICENT T FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10 TALCOTT NOTCH RD, PSYCHIATRY CLINIC, FARMINGTON, CT 06032-1800
(860) 679-6700
(860) 679-6736
Mailing address
65 KANE ST, PROVIDER ENROLLMENT, WEST HARTFORD, CT 06119-2110
(860) 523-6421
(860) 523-3701
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
000828
CT
Other
Enumeration date
11/29/2005
Last updated
04/02/2015
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