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Individual

SHIRLEY KUAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, AGNP

Contact information

Practice address
968 FAIRFIELD AVE, BRIDGEPORT, CT 06605-1116
(203) 330-6000
(203) 334-0398
Mailing address
968 FAIRFIELD AVE, BRIDGEPORT, CT 06605
(203) 330-6000
(203) 334-0398

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
153503
CT
207R00000X
Internal Medicine Physician
9166
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
9166
CT
363LP2300X
Primary Care Nurse Practitioner
9166
CT

Other

Enumeration date
10/06/2020
Last updated
04/19/2022
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