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Contact Information

CHRISTINE MALCOLM
7 MAGAURAN DR STE 3
STAFFORD SPRINGS, CT06076-4040
 Phone: 860-684-5438
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CHRISTINE MALCOLM · (Female)

NPI # 1215604269
Status Active
Credentials
Entity Individual
Enumeration date 08/26/2021
Last updated 07/21/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 9865
Hospital affiliation(s)
  • JOHNSON MEMORIAL HOSPITAL - (Acute Care)
    201 CHESTNUT HILL RD
    STAFFORD SPRINGS, CT 06076
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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