Organization
MICHELLE VAN DUINEN APRN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE VAN DUINEN APRN (OWNER)
(860) 245-5811
Entity
Organization
Contact information
Practice address
107 WILCOX RD STE 105, STONINGTON, CT 06378-2614
(860) 245-5811
Mailing address
107 WILCOX RD STE 105, STONINGTON, CT 06378-2614
(860) 245-5811
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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