Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Stephem Miceli

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093541013

Andrew Stephem Miceli is a Student in an Organized Health Care Education/Training Program in Hartford, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2024

Practice location Address checks out

21 Grand St
Hartford, CT 06106-1541
Phone: (860) 550-7500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CT)

Record details

NPI number1093541013
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 9, 2024
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024

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