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Individual

SHELISHA ROACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
85 SEYMOUR ST STE 125B, HARTFORD, CT 06106-5501
(860) 962-7022
Mailing address
85 SEYMOUR ST STE 125B, HARTFORD, CT 06106-5501
(860) 962-7022

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14758
CT
363LF0000X
Family Nurse Practitioner
F349466
NY

Other

Enumeration date
09/10/2019
Last updated
08/20/2025
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