Individual
SHANNON SERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 CEDAR STREET, TMP 3, NEW HAVEN, CT 06510
(203) 785-2802
(203) 785-6664
Mailing address
333 CEDAR STREET, TMP 3, NEW HAVEN, CT 06510
(203) 785-2802
(203) 785-6664
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
009935
CT
Other
Enumeration date
08/24/2021
Last updated
09/03/2021
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