Individual
RENEE LEIGH LACADIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 533-3494
Mailing address
65 BITTERSWEET DR, GALES FERRY, CT 06335-1002
(860) 442-0711
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6184
CT
363LP2300X
Primary Care Nurse Practitioner
6184
CT
Other
Enumeration date
07/30/2015
Last updated
01/19/2018
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