Nicole Muckenhirn

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558980680

Nicole Muckenhirn is a Student in an Organized Health Care Education/Training Program in Moodus, Connecticut. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since: 2020

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Practice location Address checks out

121 E Haddam Colchester Tpke
Moodus, CT 06469-1240
Phone: (860) 204-1340

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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

Record details

NPI number	1558980680
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	April 9, 2020
Last updated in NPPES	April 9, 2020
Certification date	April 9, 2020