Individual
SHANNON S DESIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 HOSPITAL PLZ, STAMFORD, CT 06902-3602
(203) 423-9416
Mailing address
14 TANNERS DR, WILTON, CT 06897-1117
(203) 423-9416
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
003221
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004252409
—
CT
Enumeration date
11/30/2005
Last updated
09/10/2019
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