Philip Miracle Ennin JR., APRN

NPI #1124843503 in Plainville, Connecticut

Provider Information

NPI Number: 1124843503
Entity Type: Individual
Name: Philip Miracle Ennin JR., APRN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: APRN
Enumeration Date: Nov 20, 2024
Last Updated: Feb 25, 2025

Practice Location

Address: 269 FARMINGTON AVE
City: Plainville
State: Connecticut
ZIP Code: 06062-1335
Phone: (860) 655-2432

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X
Nurse Practitioner	363L00000X	Primary

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