Individual
TERESA SHEETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435 LEWIS AVE, MERIDEN, CT 06451-2101
(203) 694-8200
Mailing address
17 SOUTHRIDGE RD, PROSPECT, CT 06712
(203) 527-9793
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
001854
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
430001108
—
CT
Enumeration date
10/17/2006
Last updated
05/12/2010
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