Organization
MICHAEL OTOOLE DNP APRN LLC
Active
Other names
Michael OToole LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL OTOOLE APRN (OWNER)
(203) 515-8185
Entity
Organization
Contact information
Practice address
2505 MAIN ST STE 208, STRATFORD, CT 06615-5813
(203) 368-4291
Mailing address
55 NASH LN, BRIDGEPORT, CT 06605-3181
(203) 368-4291
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
007178
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004069985
—
CT
Enumeration date
11/20/2017
Last updated
11/20/2017
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