Individual provider · Type 1 NPI

Andrew Stephem Miceli

Student in an Organized Health Care Education/Training Program · Hartford, CT

NPI number 1093541013 Active

Practice location

21 Grand St
Hartford, CT 06106-1541

Call (860) 550-7500 Map

Mailing address

4 Diamond Ter
Wolcott, CT 06716-2715

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093541013

Andrew Stephem Miceli's National Provider Identifier is 1093541013, issued on Sep 9, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hartford, CT. The record was last updated on Sep 9, 2024.