Individual provider · Type 1 NPI
Philip Miracle Ennin Jr., APRN
Nurse Practitioner · Plainville, CT
Practice location
269 Farmington Ave
Plainville, CT 06062-1335
Mailing address
75 Gordon Ln
East Hartford, CT 06118-2222
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 164301 (CT) |
| Nurse Practitioner Primary | 363L00000X | 14447 (CT) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
4 other providers at this address
Other nurse practitioner providers in Plainville
About NPI 1124843503
Philip Miracle Ennin Jr., APRN's National Provider Identifier is 1124843503, issued on Nov 20, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Plainville, CT. The record was last updated on Feb 25, 2025.