Individual
DEBORAH ANN ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10 PROGRESS DR, SUITE 200, SHELTON, CT 06484-6216
(203) 538-8004
(203) 926-0594
Mailing address
1600 MANCHESTER RD, GLASTONBURY, CT 06033-1837
(860) 659-2951
(860) 659-2951
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
003799
CT
Other
Enumeration date
05/22/2008
Last updated
06/09/2008
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