LEEANNE E SHAW-QUINN


Address: 30 Hyde Ave Ste 109, Vernon, CT 06066-4503
Phone: 8604540303

LEEANNE E SHAW-QUINN (NPI# 1487727228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487727228
Entity Type Individual
Full Name LEEANNE E SHAW-QUINN
Credential APRN
Practice Address 30 Hyde Ave Ste 109
Vernon
CT 06066-4503
Mailing Address Hartford Hospital Professional Services
Po Box 40,000 Dept 634
Hartford
CT 06151-0634
Practice Telephone 8604540303
Practice Fax Number 8608754242
Mailing Telephone 8605457602
Enumeration Date 2006-11-17
Last Update Date 2017-12-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
002642 CT Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT 004026424 05

Office Location

Street Address 30 HYDE AVE STE 109
City VERNON
State CT
Zip Code 06066-4503

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013574425 Jude Hall Nurse Practitioner 30 Hyde Ave Ste 109, Vernon, CT 06066-4503 2019-05-21
1497888002 Susan Mary Hart Johnson Physician Assistant 30 Hyde Ave Ste 109, Vernon, CT 06066-4503 2007-03-13

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NPI Name Taxonomy Address Enumeration
1659992204 Kumeh Bestman Social Worker 41 Jeff Road, Vernon, CT 06066 2020-05-05
1114567922 Irina Bratan Nurse Practitioner 35 Talcottvile Road, Vernon, CT 06066 2020-01-09
1457833899 Jessica Elizabeth Navallil Pharmacist 188 Union Street, Vernon, CT 06066 2018-09-02
1528557709 Andre Spence Counselor 66 Orchard St, Vernon, CT 06066 2018-05-03
1992207468 Myeyedr Optometry of Connecticut, LLC Optometrist 400-1 Talcottville Rd, Vernon, CT 06066 2018-03-01
1811425754 Patricia Cosgrove Barresi Occupational Therapy Assistant 1253 Hartford Turnpike, Vernon, CT 06066 2017-05-23
1922539592 Ctuc01 Clinic/Center 179 Talcottville Rd, Vernon, CT 06066 2017-03-24
1558804070 First Choice Health Centers, Inc. Clinic/Center 94 Union Sreet, 2nd Floor, Vernon, CT 06066 2016-12-01
1235685504 Lotus Behavioral Consultation Day Training, Developmentally Disabled Services 3 Raymond Street, Vernon, CT 06066 2016-08-28
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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1427689660 Sajini M Roy Nurse Practitioner 172 Guinea Rd, Monroe, CT 06468-1044 2020-01-27
1073171393 Sabine Donato Dabady Nurse Practitioner 287 Capitol Ave, Waterbury, CT 06705-2407 2019-06-01
1720599541 Sherifa Bello Nurse Practitioner 1333 Burnside Ave Apt A3, East Hartford, CT 06108-1517 2017-10-19
1750808994 Ronald S. Perpetua Nurse Practitioner 107 Bassett Rd, North Haven, CT 06473-1902 2017-08-28
1891247805 Campbell Medical Care, LLC Nurse Practitioner 22 Parkwood Dr, Windsor, CT 06095-3142 2016-10-26
1861745259 Marguerite Kalowsky Benoit Nurse Practitioner 187 Bouton St W, Stamford, CT 06907-1320 2012-10-22
1396977997 Debra Innes Coyle Nurse Practitioner 85 Huckleberry Ln, Southington, CT 06489-4319 2009-08-14
1184648925 Karen S Williams Nurse Practitioner 25 Witch Meadow Rd, Salem, CT 06420-3602 2006-07-26
1255382446 Diane Merkle Nurse Practitioner 33 Harborview Ave, Milford, CT 06460-6540 2006-05-13
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Competitor

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City VERNON
Zip Code 06066

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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