Organization
DUNCASTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEEANNE ELIZABETH SHAW-QUINN APRN (APRN)
(860) 380-5150
Entity
Organization
Contact information
Practice address
40 LOEFFLER RD, BLOOMFIELD, CT 06002-2262
(860) 380-5150
Mailing address
40 LOEFFLER RD, BLOOMFIELD, CT 06002-2262
(860) 380-5150
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
002642
CT
Other
Enumeration date
04/03/2006
Last updated
08/22/2020
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