Individual
MRS. SHELLI LEORE FEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN FNP-BC
Contact information
Practice address
100 DOUBLE BEACH RD, BRANFORD, CT 06405-4909
(937) 239-2801
Mailing address
19 WOODLAND ST APT 2, NEW HAVEN, CT 06511-3544
(937) 239-2801
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5274
CT
363LF0000X
Family Nurse Practitioner
RN1021360
DC
Other
Enumeration date
10/19/2010
Last updated
01/20/2013
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