Individual
SAMANTHA STANNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
43 WOODLAND ST, HARTFORD, CT 06105-2363
(888) 793-3500
Mailing address
33 COLUMBUS ST, EAST HARTFORD, CT 06108-1710
(860) 461-4400
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
144747
CT
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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