Individual
MS. POLLY HUYNH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
675 MAIN STREET, MIDDLETOWN, CT 06457
(607) 186-0347
Mailing address
675 MAIN STREET, MIDDLETOWN, CT 06457
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
153278
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8954
CT
Other
Enumeration date
05/05/2020
Last updated
07/30/2020
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