Individual
NICOLE JOHNSTON MISIASZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
160 HAZARD AVE, ENFIELD, CT 06082-4520
(860) 253-5330
(860) 253-5331
Mailing address
160 HAZARD AVE, ENFIELD, CT 06082-4520
(860) 253-5330
(860) 253-5331
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002009
CT
Other
Enumeration date
10/23/2007
Last updated
06/09/2022
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