MILLICENT M MALCOLM LLC
NPI 1811037690
Nurse Practitioner in Middlefield, CT

Q: What is Millicent M Malcolm LLC's NPI number?

The NPI number for Millicent M Malcolm LLC is 1811037690. It was assigned to this organization in the NPPES registry on February 8, 2007.

Q: What is Millicent M Malcolm LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since February 08, 2007

369 BAILEYVILLE RD, MIDDLEFIELD, CT 06455(860) 349-1116(860) 349-1116 Get Directions Write a Review

NPPES record last updated: November 28, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Millicent M Malcolm Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MILLICENT M MALCOLM LLC (NPI 1811037690) is a healthcare organization registered as a nurse practitioner in Middlefield, Connecticut and active in the NPI registry since February 2007. The organization lists Millicent Marie Malcolm, Owner, as its authorized official.

NPPES Registry Identity

NPI1811037690

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameMILLICENT M MALCOLM LLC

Location Address369 BAILEYVILLE RDMiddlefield, CT 06455

Mailing Address369 Baileyville RdMiddlefield, CT 06455 · (860) 349-1116 · Fax (860) 349-1116

Phone(860) 349-1116

Fax(860) 349-1116

Organization SubpartNo

Authorized OfficialMillicent Marie MalcolmOwner · (860) 614-8154

Enumeration DateFebruary 8, 2007

Last NPPES UpdateNovember 28, 2011

✔ NPI 1811037690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CT · 002258

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

369 BAILEYVILLE RD, Middlefield, CT 06455

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Other Identifiers 2

Medicare PIN500001929CT

Medicaid004208296CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Millicent M Malcolm LLC's NPI number?

The NPI number for Millicent M Malcolm LLC is 1811037690. It was assigned to this organization in the NPPES registry on February 8, 2007.

Where is Millicent M Malcolm LLC located?

Millicent M Malcolm LLC is located at 369 Baileyville Rd, Middlefield, CT 06455. The listed phone number is (860) 349-1116.

What is Millicent M Malcolm LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Millicent M Malcolm LLC was last updated on November 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.