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1750063616
SHAWNECIA HEADLEY
WATERBURY, CT
NPI
1750063616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 12177)
Enumeration Date
2023-08-01
Last Update Date
2023-08-01
Business Address
Ms. SHAWNECIA HEADLEY MSN-FNP
8 S COMMONS RD
WATERBURY, CT 06704-1035
Phone number: 203-759-1229
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Mailing Address
Ms. SHAWNECIA HEADLEY MSN-FNP
84 LAWN ST
BRIDGEPORT, CT 06606-4916
Phone number: 203-260-3399
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