Individual
SHANNON CARDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2660 MAIN ST STE 117, BRIDGEPORT, CT 06606-5301
(203) 338-8760
(203) 338-8765
Mailing address
1290 SILAS DEANE HWY, HHC-CVO, WETHERSFIELD, CT 06109-4337
(860) 972-5507
(860) 972-7040
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
163809
CT
363LF0000X
Family Nurse Practitioner
Primary
15146
CT
Other
Enumeration date
01/12/2023
Last updated
09/12/2025
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