| NPI | 1184686669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEEANNE ELIZABETH SHAW-QUINN Ap RN 860-380-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: CT 002642) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2020-08-22 |