Individual
SHARON MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1 HOPE ST, BRISTOL, CT 06010-6374
(860) 793-3500
Mailing address
PO BOX 3708, NEW HAVEN, CT 06525-0708
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12.015065
CT
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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