Individual
SHAYLICE MICHELLE MESEROLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
22 SELDEN ST, WOODBRIDGE, CT 06525-2218
(312) 696-9321
(203) 971-5497
Mailing address
22 SELDEN ST, WOODBRIDGE, CT 06525-2218
(312) 696-9321
(203) 971-5497
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
116134
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6406
CT
Other
Enumeration date
12/10/2015
Last updated
01/02/2026
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