Philip Miracle Ennin Jr.
APRN | Nurse Practitioner
269 Farmington Ave, Plainville
Connecticut, 06062-1335
860-655-2432
Philip Miracle Ennin Jr. is a Plainville, Connecticut based nurse practitioner who is specialized as Nurse Practitioner nurse. Active license number of Philip Miracle Ennin Jr. is 14447 in Connecticut. His current practice location is 269 Farmington Ave, Plainville. Patients can reach him at 860-655-2432. Philip Miracle Ennin Jr. is APRN with specialization in Nurse Practitioner and his NPI number (Unique professional ID assigned by NPPES) is 1124843503.
Philip Miracle Ennin Jr. has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Philip Miracle Ennin Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Philip Miracle Ennin Jr. |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | APRN |
| Practice Address: | 269 Farmington Ave, Plainville,
Connecticut, 06062-1335 |
| Phone: | 860-655-2432 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1124843503 |
| NPI Enumeration Date: | 20 Nov, 2024 |
| NPI Last Update On: | 25 Feb, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Philip Miracle Ennin Jr. are as mentioned below.
| License Number | Specialization | State | Status | |
| 14447 | | Connecticut | Primary | |
| 164301 | Registered Nurse | Connecticut | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Philip Miracle Ennin Jr.
75 Gordon Ln,
East Hartford, Connecticut |
| Zip: | 06118-2222 |
| Phone Number: | 860-655-2432 |
Patients can reach Philip Miracle Ennin Jr. at
269 Farmington Ave, Plainville, Connecticut or can
call to book an appointment on 860-655-2432.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.