Individual
JUDY SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 W TOWN ST, NORWICH, CT 06360-2112
(860) 886-1508
Mailing address
200 W TOWN ST, NORWICH, CT 06360-2112
(860) 625-5049
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11079
CT
Other
Enumeration date
07/20/2023
Last updated
05/19/2024
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