Individual
ALEXIS MEDENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 PEACH ORCHARD HL, PLAINVILLE, CT 06062-1541
(860) 993-7382
Mailing address
32 PEACH ORCHARD HL, PLAINVILLE, CT 06062-1541
(860) 993-7382
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13784
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/02/2024
Last updated
09/26/2024
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