Individual
SHANIYA ROSENKRANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 PERKINS FARM DR, MYSTIC, CT 06355-4037
(860) 572-8911
Mailing address
100 PERKINS FARM DR, MYSTIC, CT 06355-4037
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10474
CT
Other
Enumeration date
12/29/2021
Last updated
09/21/2022
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