Individual
MACY GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
82 NEW PARK AVE, NORTH FRANKLIN, CT 06254
(860) 889-7345
Mailing address
71 KINSMAN HILL ROAD, LISBON, CT 06351
(860) 840-1523
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14024
CT
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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