Individual
LAUREN HICKS SHELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 MILESTONE RD, DANBURY, CT 06810-5114
(203) 702-7400
Mailing address
98 WELLS HILL RD, EASTON, CT 06612-1525
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
9112
CT
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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