Organization
SANFORD LINN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG ALAN SMITH APRN (CEO)
(860) 748-2222
Entity
Organization
Contact information
Practice address
4 WEST RD, #6, ELLINGTON, CT 06029-4247
(860) 967-0601
(888) 709-4822
Mailing address
29 THE LAURELS, ENFIELD, CT 06082-2349
(860) 748-2222
(860) 506-7818
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
002192
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
002192
CT
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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