Individual provider · Type 1 NPI

Millicent M. Malcolm, APRN

Nurse Practitioner · Middletown, CT

NPI number 1255418414 Active

Practice location

520 Saybrook Rd, Suite N100
Middletown, CT 06457-4700

Fax (860) 358-8657

Mailing address

28 Crescent St
Middletown, CT 06457-3654

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X002258 (CT)
Nurse Practitioner Primary 363L00000X002258 (CT)
Gerontology Nurse Practitioner 363LG0600X002258 (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…

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About NPI 1255418414

Millicent M. Malcolm, APRN's National Provider Identifier is 1255418414, issued on Nov 1, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Middletown, CT. The record was last updated on Apr 12, 2017.