Individual
CHELSEY ANN SHABAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
205 S MAIN ST, THOMASTON, CT 06787-1740
(860) 283-6255
Mailing address
284 REGAN RD, MIDDLEBURY, CT 06762-2524
(203) 592-1214
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
12.010623
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12.010623
—
CT
Enumeration date
06/02/2022
Last updated
06/02/2022
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