Individual
MRS. ELLIE PLUKAS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N. , APRN, BC
Contact information
Practice address
555 WILLARD AVE, NEWINGTON, CT 06111-2631
(860) 667-6763
(860) 667-6872
Mailing address
9 HAMPSHIRE LN, SIMSBURY, CT 06070-1223
(860) 651-7162
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
E34147
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
001462
CT
Other
Enumeration date
05/17/2006
Last updated
04/18/2008
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