NPI 1053168013

Shanece R Mifflin

Practitioner Licensed Practical Nurse Enfield, CT

Practice location

Address: 153 Hazard Ave, Enfield, CT 06082-4592
Phone: (860) 731-5522
Fax: (860) 731-5536
Mailing address: 2 Waterside Xing STE 401, Windsor, CT 06095-1588

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 45187 (CT)

Other Licensed Practical Nurse providers in Connecticut →

Registry record

NPI: 1053168013
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 May 2024
Record last updated: 6 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.