Individual
SHAKERIA C BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
567 MILLVILLE AVE APT 3-10, NAUGATUCK, CT 06770-2337
(203) 415-8608
Mailing address
567 MILLVILLE AVE APT 3-10, NAUGATUCK, CT 06770-2337
(203) 415-8608
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12.009248
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12.009248
—
CT
Enumeration date
10/13/2020
Last updated
10/13/2020
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