Individual
MICHELLE L ALLYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
192 E CENTER ST, MANCHESTER, CT 06040-5210
(860) 649-3243
Mailing address
40 REX RD, LISBON, CT 06351-2821
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12.007032
CT
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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