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 1:112 SPENCER ST STE 2A
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06040-4601
Mailing Address - Country:US
Mailing Address - Phone:860-791-8170
Mailing Address - Fax:860-791-8208
Practice Address - Street 1:112 SPENCER ST STE 2A
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-4601
Practice Address - Country:US
Practice Address - Phone:860-791-8170
Practice Address - Fax:860-791-8208
Is Sole Proprietor?:No
Enumeration Date:2014-04-25
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT005692363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily