Individual
ELLEN MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
15 CRESCENT ST, MIDDLETOWN, CT 06457-3601
(860) 262-6148
Mailing address
15 CRESCENT ST, MIDDLETOWN, CT 06457-3601
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
003465
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
003465
CT
Other
Enumeration date
11/09/2006
Last updated
08/23/2021
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