Vrunda Shah
Nurse Practitioner, Family in Farmington, CT. Individual provider (NPI-1).
NPI number1891242004
StatusActive
Last updated in NPPESSep 29, 2022
Details
- NPI
- 1891242004
- Entity type
- Individual (NPI-1)
- Name
- Vrunda Shah
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2016
- Last updated
- Sep 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 6695 | CT | Yes |
| 163W00000X | Registered Nurse | 110394 | CT |
Practice location
263 Farmington AveFarmington, CT 06030-0001
Phone 860-679-6600 · Fax 860-679-6649
Mailing address
263 Farmington AveFarmington, CT 06030-0001
Phone 860-679-6600 · Fax 860-679-6649
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