Doucette, Samantha
Doucette, Samantha is an individual health care provider with primary practice located at 100 Perkins Farm Dr , Mystic CT 06355-4037. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Doucette, Samantha can be contacted via phone (860) 545-5000.Contact Information
Primary practice address
100 Perkins Farm Dr
Mystic CT 06355-4037
Phone: (860) 545-5000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 109771 | Connecticut |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 10814 | Connecticut |
Profile Details
NPI number | 1821735382 |
---|---|
LBN Legal business name | Doucette, Samantha |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 17th, 2022 |
Last updated | Aug 25th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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