Individual
MICHELLE LYNN BEVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
150 N MAIN ST, MANCHESTER, CT 06042-2086
(860) 528-1359
Mailing address
94 CONNECTICUT BLVD, EAST HARTFORD, CT 06108-3013
(860) 610-6155
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11808
CT
Other
Enumeration date
03/24/2023
Last updated
03/05/2024
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