Individual
MICHELLE MURRAY GLIDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
114 WOODLAND ST, CARDIOLOGY, HARTFORD, CT 06105-1208
(860) 714-4202
(860) 714-8001
Mailing address
1000 ASYLUM AVE, SUITE 2109A, HARTFORD, CT 06105-1770
(860) 714-6581
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3226
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004251170
—
CT
01
—
00425117000
EDS BLUE CARE
—
01
—
032260
CT
—
01
—
2V6522
HEALTH NET
—
01
—
400003226CT
ANTHEM
—
01
—
P3605515
OXFORD
—
Enumeration date
08/18/2006
Last updated
02/10/2012
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