| Michael Espelin Aprn Llc | |
|
145 Durham Rd Ste 6 Madison CT 06443-2656 | |
| (347) 762-5352 | |
| (928) 272-0190 |
| Full Name | Michael Espelin Aprn Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 145 Durham Rd Ste 6, Madison, Connecticut |
| Authorized Official Name and Position | Michael Espelin (BUSINESS MANAGER) |
| Authorized Official Contact | 3477625352 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Espelin Aprn Llc 1204 Main St Ste 575 Branford CT 06405-3787 Ph: (347) 762-5352 | Michael Espelin Aprn Llc 145 Durham Rd Ste 6 Madison CT 06443-2656 Ph: (347) 762-5352 |
| NPI Number | 1912541210 |
|---|---|
| Provider Enumeration Date | 10/30/2019 |
| Last Update Date | 04/20/2022 |
| Certification Date | 04/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912541210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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