Individual
MS. HEATHER NICOLE SHELSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
499 FARMINGTON AVE, FARMINGTON, CT 06032-1943
(860) 678-0202
Mailing address
499 FARMINGTON AVE, SUITE 100, FARMINGTON, CT 06032-1943
(860) 678-0202
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
048086
CT
207W00000X
Ophthalmology Physician
MT186107
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008008199
—
CT
Enumeration date
04/26/2007
Last updated
02/02/2016
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