Michele L Vallee, APRN

Individual provider Active NPI Family Nurse Practitioner · Cheshire, CT

NPI 1619259835 · NPPES record last updated Feb 12, 2020

Key facts

NPI
1619259835
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
004799 (CT)
Practice address
905 South Main St
CVS Minute Clinic
Cheshire, CT 06410-3169
Phone
(866) 389-2727
NPI assigned
Sep 14, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
004799CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Telemedicine LLC Family Current
since Aug 2, 2020
Accepting new patients

Locations

6 W River St
Unit 491
Milford, CT 06460
Phone (800) 835-9812

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21359/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 004799 CT Yes

Addresses

Primary practice location

905 South Main St
CVS Minute Clinic
Cheshire, CT 06410-3169

Mailing address

905 S Main St
Cheshire, CT 06410-3418
Phone (860) 483-1074

Other providers in Cheshire, CT

All providers in Cheshire, CT · Family Nurse Practitioner in Connecticut

Sources for this page

Verify at the official NPI Registry.