SAMANTHA DOUCETTE

MYSTIC, CT
NPI1821735382
Other NameSAMANTHA GAGLIARDI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: CT  10814)
Additional Taxonomies363LP2300X Nurse Practitioner, Primary Care
(Licence: CT  109771)
Enumeration Date2022-05-17
Last Update Date2022-08-25
Business Address
SAMANTHA DOUCETTE APRN
100 PERKINS FARM DR
MYSTIC, CT 06355-4037
Phone number: 860-545-5000
Mailing Address
SAMANTHA DOUCETTE APRN
100 PERKINS FARM DR STE 203
MYSTIC, CT 06355-4041
Phone number: 860-572-8911