Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILIP MIRACLE ENNIN JR., APRN
ActivePHILIP MIRACLE ENNIN JR., APRN is a Nurse Practitioner healthcare provider located in PLAINVILLE, Connecticut. NPI 1124843503 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · PLAINVILLE, CT
Registration Details
- NPI Number
- 1124843503
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 20, 2024 (1.6927210488868 yrs)
- Last Updated
- Feb 25, 2025
- Licenses
-
164301 (CT)14447 (CT)
Practice Information
- Address
-
269 FARMINGTON AVEPLAINVILLE, CT, 060621335Browse CT providers · Browse ZIP 06062
- Phone
- 8606552432
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in PLAINVILLE, CT
| Name | Credential | NPI |
|---|---|---|
| MRS. DEEDEE S GRECO | APRN | 1154655751 |
| MS. BETHANY ANNE CARR | APRN-BC | 1285067603 |
| SOBIA RIZWAN SHAIKH | — | 1639053655 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.