Individual
MS. LORI SILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
402 E MAIN ST, WATERBURY, CT 06702-1701
(203) 755-1143
(203) 755-1447
Mailing address
141 E MAIN ST, WATERBURY, CT 06702-2310
(203) 574-9000
(203) 574-9006
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
E35494
CT
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
CSP.0040738
CT
163WP0808X
Psychiatric/Mental Health Registered Nurse
2006002567
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
003505
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004186856
—
CT
Enumeration date
12/19/2006
Last updated
05/20/2012
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