Individual
JULIA MICHELLE CAOUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, MSN, FNP-C
Contact information
Practice address
120 PLAINFIELD RD, MOOSUP, CT 06354-1632
(860) 822-4938
Mailing address
120 PLAINFIELD RD, MOOSUP, CT 06354-1632
(860) 822-4938
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11454
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11454
LICENSE NUMBER
CT
Enumeration date
01/27/2023
Last updated
10/17/2023
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