SHANTELLE BROKAW

WATERBURY, CT
NPI1114462561
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CT  6831)
Enumeration Date2016-12-21
Last Update Date2020-04-14
Business Address
Mrs. SHANTELLE BROKAW
128 CEDAR AVE
WATERBURY, CT 06705-2700
Phone number: 203-757-9271
Mailing Address
Mrs. SHANTELLE BROKAW
500 ALBANY AVE
HARTFORD, CT 06120-2508
Phone number: 860-249-9625
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