Individual
KIMBERLY MILANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
44 OUTLOOK AVE, WEST HARTFORD, CT 06119-1431
(860) 840-3878
(860) 840-3878
Mailing address
44 OUTLOOK AVE, WEST HARTFORD, CT 06119-1431
(860) 840-3878
(860) 840-3878
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5999
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13579906
CAQH
CT
Enumeration date
11/24/2014
Last updated
05/31/2024
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