MANHOULY PHOUTHACHACK

Family Nurse Practitioner

NPI: 1295965481IndividualAccepts Medicare

Specialties, Licenses & Credentials

Family Nurse PractitionerPrimary

Nurse Practitioner — Family

Code: 363LF0000X

004098(CT)

Education

OTHER

Class of 2007

Contact & Hours

Via practice · 2 locations total

Address: 839 FARMINGTON AVE
BRISTOL, CT 06010
Phone: (866) 389-2727

Locations (2)

Practice Location

839 FARMINGTON AVE, BRISTOL, CT

Practice Location

920 2ND AVE S, MINNEAPOLIS, MN

Quick Facts

NPI: 1295965481
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 1
Locations: 2
Years in Practice: 19

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