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Individual

SHARON A KANDRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1 ROYCE CIR, SUITE 104, STORRS, CT 06268-2260
(860) 487-9200
(860) 487-9222
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
002294
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1528181716
CT
Enumeration date
04/10/2007
Last updated
12/13/2013
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