Mieczkowski, Mary Catherine Egan

Mieczkowski, Mary Catherine Egan is an individual health care provider with primary practice located at 1301 Farmington Ave , Bristol CT 06010-4776. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mieczkowski, Mary Catherine Egan can be contacted via phone (860) 589-4501.

Contact Information

Primary practice address
1301 Farmington Ave Bristol CT 06010-4776
Phone: (860) 589-4501
Fax: (860) 589-4502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 002742 Connecticut

Profile Details

NPI number 1679736870
LBN Legal business name Mieczkowski, Mary Catherine Egan
Credentials APRN PNP BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2008
Last updated Oct 9th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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