Individual
RENEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
399 MILL HILL AVE, 399 MILL HILL AVE, BRIDGEPORT, CT 06610-2865
(203) 851-2077
(203) 690-1265
Mailing address
399 MILL HILL AVE, 399 MILL HILL AVE, BRIDGEPORT, CT 06610-2865
(203) 851-2077
(203) 690-1265
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
40337
CT
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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