Individual
ELIZABETH HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 FLANDERS RD, EAST LYME, CT 06333-1743
(860) 739-0348
(860) 739-6779
Mailing address
7 VILLAGE CT, EAST LYME, CT 06333-1200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4428
CT
363LF0000X
Family Nurse Practitioner
RN284697
MA
Other
Enumeration date
10/20/2009
Last updated
12/18/2018
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