Individual
TAMARA HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1 E HAYESTOWN RD UNIT 52, DANBURY, CT 06811-2512
(914) 373-9813
Mailing address
1 E HAYESTOWN RD UNIT 52, DANBURY, CT 06811-2512
(914) 373-9813
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
294865
NY
164W00000X
Licensed Practical Nurse
40533
CT
Other
Enumeration date
11/15/2011
Last updated
04/17/2022
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