Individual
SAMANTHA FLORENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 PHOENIX AVE, WATERBURY, CT 06702-1418
(203) 756-8021
Mailing address
23 BARNHILL RD, WOODBURY, CT 06798-2220
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13435
CT
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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