Individual
MRS. MICHELLE MARIE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
20 FELICITY LN, TORRINGTON, CT 06790-6101
(860) 489-4144
(860) 489-4412
Mailing address
20 FELICITY LN, TORRINGTON, CT 06790-6101
(860) 489-4144
(860) 489-4412
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
E59540
CT
363LP0200X
Pediatric Nurse Practitioner
Primary
003250
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030250
CT CARE
—
01
—
358978
PREFERRED ONE
—
Enumeration date
01/19/2007
Last updated
03/03/2014
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