Individual
SHAYNA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-7550
Mailing address
130 DIVISION ST, DERBY, CT 06418-1326
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
138378
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12871
CT
Other
Enumeration date
05/06/2021
Last updated
02/09/2024
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