Provider Demographics
NPI:1811027741
Name:LABONTE, MICHELE MARIE (MS APRN)
Entity Type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:MARIE
Last Name:LABONTE
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Gender:F
Credentials:MS APRN
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Mailing Address - Street 1:234 GLENBROOK ROAD
Mailing Address - Street 2:UNIT 2011 UNIVERSITY OF CONNECTICUT STUDENT HEALTH SERV
Mailing Address - City:STORRS
Mailing Address - State:CT
Mailing Address - Zip Code:06269-2011
Mailing Address - Country:US
Mailing Address - Phone:860-486-4700
Mailing Address - Fax:860-486-0004
Practice Address - Street 1:234 GLENBROOK ROAD
Practice Address - Street 2:UNIT 2011 UNIVERSITY OF CONNECTICUT STUDENT HEALTH SERV
Practice Address - City:STORRS
Practice Address - State:CT
Practice Address - Zip Code:06269-2011
Practice Address - Country:US
Practice Address - Phone:860-486-4700
Practice Address - Fax:860-486-0004
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CT000574363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner