Individual provider · Type 1 NPI
Michon Terra, RN BSN
General Practice Registered Nurse · Broad Brook, CT
NPI number
1699664664
Active
Practice location
25 Omelia Rd
Broad Brook, CT 06016-9731
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 214061 (CT) |
General Practice Registered Nurse: Definition to come...
About NPI 1699664664
Michon Terra, RN BSN's National Provider Identifier is 1699664664, issued on Jul 2, 2025. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Broad Brook, CT. The record was last updated on Jul 2, 2025.