Nicole Johnston Misiaszek in Enfield - Medical
Nicole Johnston Misiaszek - NPI 1770772063
Nicole Johnston Misiaszek is a Medical in Enfield, Connecticut. Nicole Johnston Misiaszek practices all healthcare services and medical treatments related to Medical. The NPI Number for Nicole Johnston Misiaszek is 1770772063. The last update date is 2022-06-09.
Nicole Johnston Misiaszek's current location address is 160 Hazard Ave, Enfield, Connecticut. You can contact this provider via phone number 8602535330 and fax number 8602535331. The mailing address for Nicole Johnston Misiaszek is 160 Hazard Ave, Enfield, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicole Johnston Misiaszek |
|---|---|
| Address | 160 Hazard Ave, Enfield, Connecticut |
| Phone Number | 8602535330 |
| Fax Number | 8602535331 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1770772063 |
|---|---|
| Provider Enumeration Date | 2007-10-23 |
| Last Updated Date | 2022-06-09 |
Provider Mailing Address Detail
| Address | 160 Hazard Ave |
|---|---|
| City | Enfield |
| State | Connecticut (CT) |
| Post Code | 60824520 |
| Phone Number | 8602535330 |
| Fax Number | 8602535331 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 2009 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique 10-digit identifier code assigned to Nicole Johnston Misiaszek by the Centers for Medicare & Medicaid Services?
The Nicole Johnston Misiaszek has been issued the NPI (National Provider Identifier) 1770772063 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Nicole Johnston Misiaszek?
The Nicole Johnston Misiaszek is situated at 160 Hazard Ave, in the city of Enfield, state of CT, with the zip code 60824520.
What is Nicole Johnston Misiaszek's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Nicole Johnston Misiaszek is Medical, and the corresponding taxonomy classification code for this specialized field is 363Am0700X.
On what date did the Nicole Johnston Misiaszek receive the assignment of its 1770772063 from the Centers for Medicare & Medicaid Services?
The Nicole Johnston Misiaszek was issued its 1770772063 by the Centers for Medicare & Medicaid Services on 2007-10-23.
As of what date were the Nicole Johnston Misiaszek's details last updated?
The information pertaining to the Nicole Johnston Misiaszek, including its address, specialty, and other details, was most recently updated on 2022-06-09.