Individual
MS. TRACY LEIGH SHAMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
950 CAMPBELL AVE, DEPARTMENT OF GERIATRICS, WEST HAVEN, CT 06516-2770
(203) 932-5711
(203) 937-3457
Mailing address
93 FLAX MILL RD, BRANFORD, CT 06405-2809
(203) 488-8024
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
E55291
CT
363LF0000X
Family Nurse Practitioner
Primary
001406
CT
363LF0000X
Family Nurse Practitioner
1406
CT
Other
Enumeration date
05/19/2006
Last updated
12/08/2020
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