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Individual

SUSAN SHAFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06032-1956
(860) 679-2000
Mailing address
99 EAST RIVER DRIVE, 5TH FLOOR, EAST HARTFORD, CT 06108-7301
(860) 282-0833
(203) 929-0756

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
E54330
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
004087
CT
367500000X
Certified Registered Nurse Anesthetist
RN10023370
MA

Other

Enumeration date
02/07/2007
Last updated
05/15/2025
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