Individual
SAMANTHA DOUCETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 PERKINS FARM DR, MYSTIC, CT 06355-4037
(860) 545-5000
Mailing address
100 PERKINS FARM DR STE 203, MYSTIC, CT 06355-4041
(860) 572-8911
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
10814
CT
363LP2300X
Primary Care Nurse Practitioner
109771
CT
Other
Enumeration date
05/17/2022
Last updated
08/25/2022
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