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Individual

MRS. SHAUNA ALISON RAGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
5 FOUNDERS STREET, SUITE 100, WILLIMANTIC, CT 06226
(860) 423-9764
(860) 423-9866
Mailing address
30 JORDAN LN, WETHERSFIELD, CT 06109-1278
(860) 263-0253
(860) 262-0262

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
003651
CT
363LA2200X
Adult Health Nurse Practitioner
003651
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1457544728
NPI
CT
Enumeration date
08/21/2007
Last updated
06/25/2021
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