Individual
MRS. SUSAN LINDA WEATHERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
80 SEYMOUR STREET, HARTFORD, CT 06108
(860) 545-2117
Mailing address
9 BIRCH MILL TRL, ESSEX, CT 06426-1204
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
000035
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
430001406
—
CT
Enumeration date
01/26/2006
Last updated
05/21/2008
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