Shunnett R Altius Valid NPI

Individual provider · Licensed Practical Nurse · Manchester, CT

NPI

1891523296

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

37382 (CT)

Sex

Female

Sole proprietor

No

Enumerated

2024-07-25

Last updated

2024-07-25