Individual
JAIMIE M MACHADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
166 ALBANY TPKE STE 6, CANTON, CT 06019-2546
(860) 831-4151
(860) 413-0848
Mailing address
104 ROBIN DR, COLLINSVILLE, CT 06019-3728
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7305
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
7305
CT
Other
Enumeration date
10/11/2017
Last updated
01/16/2024
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