Individual
LAURA MULKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1260 SILAS DEANE HWY, WETHERSFIELD, CT 06109
(860) 258-2375
(860) 571-6805
Mailing address
2110 SILAS DEANE HWY, ROCKY HILL, CT 06067-2313
(860) 258-3480
(860) 571-6800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
02527
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
002527
CT
363LC0200X
Critical Care Medicine Nurse Practitioner
02527
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004217627
—
CT
Enumeration date
08/02/2005
Last updated
06/11/2018
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