# SANFORD LINN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912448465
- **Authorized official:** CRAIG ALAN SMITH APRN (CEO)
- **Authorized official phone:** (860) 748-2222

## Contact information

- **Practice address:** 4 WEST RD, \#6, ELLINGTON, CT 06029-4247
- **Practice address phone:** (860) 967-0601
- **Practice address fax:** (888) 709-4822
- **Mailing address:** 29 THE LAURELS, ENFIELD, CT 06082-2349
- **Mailing address phone:** (860) 748-2222
- **Mailing address fax:** (860) 506-7818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 002192 | CT | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 002192 | CT | Yes |

## Other

- **Enumeration date:** 03/16/2017
- **Last updated:** 03/16/2017
