Individual
MRS. VIRGINIA ROSE SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
346 POMFRET ST, PUTNAM, CT 06260-1871
(860) 928-4344
(860) 928-4188
Mailing address
320 POMFRET ST, PUTNAM, CT 06260-1836
(860) 779-9270
(860) 779-7597
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
003084
CT
Other
Enumeration date
03/27/2007
Last updated
04/12/2011
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