Individual
KERI-ANN SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-2183
Mailing address
25223 TOWN WALK DR, HAMDEN, CT 06518-3770
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7492
CT
Other
Enumeration date
05/01/2021
Last updated
05/01/2021
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