Individual
SHERLEEN A HARDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
968 FAIRFIELD AVE, BRIDGEPORT, CT 06605-1116
(203) 330-6000
(203) 382-9425
Mailing address
46 ALBION ST, SOUTHWEST COMMUNITY HEALTH CENTER, INC, BRIDGEPORT, CT 06605-2804
(203) 332-3155
(203) 330-6008
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
003556
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003556
STATE LICENSE
CT
05
—
008010617
—
CT
01
—
1699703686
ANTHEM BLUE CROSS AND BLUE SHIELD
CT
01
—
CHN9023
COMMUNITY HEALTH CENTER
CT
Enumeration date
05/10/2007
Last updated
07/29/2014
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