NPI 1265786917

Mallory Simpson Breitmaier, FNP

Practitioner Family Nurse Practitioner Colchester, CT

Practice location

Address: 119 S Main St Minuteclinic, Colchester, CT 06415-1456
Phone: (401) 714-5502
Mailing address: 71 Leafwood Ln # 297, Groton, CT 06340-6701

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 5210 (CT)

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Registry record

NPI: 1265786917
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Nov 2012
Record last updated: 10 Feb 2023

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.