Individual
LEEANNE E SHAW-QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
30 HYDE AVE STE 109, VERNON, CT 06066-4503
(800) 391-0599
(980) 825-7196
Mailing address
30 JORDAN LN, WETHERSFIELD, CT 06109-1278
(860) 236-0253
(860) 263-0262
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
002642
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004026424
—
CT
Enumeration date
11/17/2006
Last updated
08/21/2025
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