Individual
SANDRA J. RABIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
79 MILL ST, SUITE 101, MIDDLETOWN, CT 06457-4468
(860) 798-0148
(860) 345-7527
Mailing address
125 WHITING ST, NEW BRITAIN, CT 06051-3184
(860) 223-2778
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
002361
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004251550
—
CT
Enumeration date
09/28/2006
Last updated
08/24/2018
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