Individual
MS. MARY CATHERINE EGAN MIECZKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN PNP BC
Contact information
Practice address
1301 FARMINGTON AVE, BRISTOL, CT 06010-4776
(860) 589-4501
(860) 589-4502
Mailing address
1301 FARMINGTON AVE, BRISTOL, CT 06010-4776
(860) 589-4501
(860) 589-4502
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
002742
CT
Other
Enumeration date
07/08/2008
Last updated
10/09/2020
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