Organization
BALANCED WELLNESS PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN MARIE MAHAN (OWNER)
(860) 892-8012
Entity
Organization
Contact information
Practice address
620 NORWICH NEW LONDON TPKE, UNCASVILLE, CT 06382
(860) 892-8012
(860) 892-8027
Mailing address
620 NORWICH NEW LONDON TPKE, UNCASVILLE, CT 06382
(860) 892-8012
(860) 892-8027
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
004797
CT
Other
Enumeration date
03/18/2013
Last updated
06/17/2022
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