Organization
MICHELLE S GAUTHIER APRN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE S GAUTHIER APRN (MANAGER)
(203) 651-8809
Entity
Organization
Contact information
Practice address
555 HIGHLAND AVE, CHESHIRE, CT 06410-2255
(203) 848-8581
Mailing address
555 HIGHLAND AVE, CHESHIRE, CT 06410-2255
(203) 651-8809
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/29/2018
Last updated
01/26/2021
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