Individual
MRS. SHAWN POLIZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1090 MAIN ST, BRANFORD, CT 06405-3716
(203) 848-8704
Mailing address
1090 MAIN ST, BRANFORD, CT 06405-3716
(203) 848-8704
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
002996
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004250065
—
CT
Enumeration date
06/23/2006
Last updated
12/06/2018
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