Individual
VRUNDA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-6600
(860) 679-6649
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-6600
(860) 679-6649
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
110394
CT
363LF0000X
Family Nurse Practitioner
Primary
6695
CT
Other
Enumeration date
09/06/2016
Last updated
09/29/2022
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