Individual
MS. TAMARA LEE CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
98 SHAKER RD, EAST LONGMEADOW, MA 01028-2731
(413) 525-3958
(413) 525-3943
Mailing address
2202 MILL POND DR, SOUTH WINDSOR, CT 06074
(860) 394-9792
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2285565
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5106
CT
Other
Enumeration date
09/13/2012
Last updated
02/11/2019
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