Shafer, Judy-Lynn

Shafer, Judy-Lynn is an individual health care provider with primary practice located at 491 Gold Star Hwy , Groton CT 06340. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Shafer, Judy-Lynn can be contacted via phone (860) 445-5107.

Contact Information

Primary practice address
491 Gold Star Hwy Groton CT 06340
Phone: (860) 445-5107
Fax: (860) 448-1368
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 002332 Connecticut

Profile Details

NPI number 1396848487
LBN Legal business name Shafer, Judy-Lynn
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Apr 8th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396848487 NPPES
Connecticut MEDICAID 004209260

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