Individual
MS. NICOLE MELIA LEVETOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
111 OSBORNE ST, SUITE 131, DANBURY, CT 06810-6000
(203) 739-7155
(203) 739-8050
Mailing address
111 OSBORNE ST, SUITE 131, DANBURY, CT 06810-6000
(203) 739-7155
(203) 739-8050
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
092394
CT
163W00000X
Registered Nurse
536002
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
004338
CT
363LA2200X
Adult Health Nurse Practitioner
305273
NY
Other
Enumeration date
04/14/2010
Last updated
02/24/2014
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