Individual provider · Type 1 NPI
Katherine Miciak
Family Nurse Practitioner · Middletown, CT
NPI number
1649892274
Active
Practice location
1 Aircraft Rd
Middletown, CT 06457-5723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 8870 (CT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1649892274
Katherine Miciak's National Provider Identifier is 1649892274, issued on May 18, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Middletown, CT. The record was last updated on Oct 18, 2022.