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Organization subpart
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Provider details

NPI number
Authorized official
SHELLEY HALLIGAN PMHNP (CEO)
(860) 389-7367
Entity
Organization

Contact information

Practice address
15 PONTIAC DR, NIANTIC, CT 06357-2835
(860) 389-7367
Mailing address
15 PONTIAC DR, NIANTIC, CT 06357-2835
(860) 389-7367

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
06/18/2026
Last updated
06/18/2026
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