Provider Demographics
NPI:1700206018
Name:APPIAHENE, CAMYLLE (APRN)
Entity Type:Individual
Prefix:
First Name:CAMYLLE
Middle Name:
Last Name:APPIAHENE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:836 FARMINGTON AVE STE 219
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06119-1545
Mailing Address - Country:US
Mailing Address - Phone:860-328-6147
Mailing Address - Fax:
Practice Address - Street 1:836 FARMINGTON AVE STE 219
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06119-1545
Practice Address - Country:US
Practice Address - Phone:860-328-6147
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-25
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT005692363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily