Individual
CHRISTIANE NOCKELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
55 LOCK STREET, NEW HAVEN, CT 06520-8237
(203) 432-0076
(203) 432-7289
Mailing address
PO BOX 208237, 55 LOCK STREET, NEW HAVEN, CT 06520-8237
(203) 432-0076
(203) 432-7289
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000112
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235900
—
CT
Enumeration date
02/09/2007
Last updated
05/04/2011
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