Individual
SHIRLEY Y SAMY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1625 STRAITS TPKE, MIDDLEBURY, CT 06762-1805
(203) 758-8107
(203) 568-2924
Mailing address
1625 STRAITS TPKE, SUITE #201, MIDDLEBURY, CT 06762-1805
(203) 573-9512
(203) 568-2904
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
E53233
CT
363LA2200X
Adult Health Nurse Practitioner
001441
CT
Other
Enumeration date
02/21/2006
Last updated
09/11/2025
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