Millicent M Malcolm LLC
NPI #1811037690 in Middlefield, Connecticut
Provider Information
- NPI Number
- 1811037690
- Entity Type
- Organization
- Organization Name
- Millicent M Malcolm LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Feb 8, 2007
- Last Updated
- Nov 28, 2011
Practice Location
- Address
- 369 BAILEYVILLE RD
- City
- Middlefield
- State
- Connecticut
- ZIP Code
- 06455
- Phone
- (860) 349-1116
Authorized Official
- Name
- MRS. MILLICENT MARIE MALCOLM, APRN
- Title
- OWNER
- Phone
- (860) 614-8154
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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