Individual
SHARON M GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
30 TOWER LN STE 120, AVON, CT 06001-4264
(860) 703-1575
Mailing address
30 TOWER LN STE 120, AVON, CT 06001-4264
(860) 703-1575
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
E57782
CT
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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