Sheanell Dougall
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Wolcott, CT
NPI 1043072648 · NPPES record last updated Jan 29, 2024
Key facts
- NPI
- 1043072648
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 24 Spindle Hill Rd
Wolcott, CT 06716-1722 - Phone
- (203) 879-5533
- NPI assigned
- Jan 29, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
24 Spindle Hill Rd
Wolcott, CT 06716-1722
Mailing address
141 E Main St
Waterbury, CT 06702-2310
Phone (203) 574-9000
Other providers in Wolcott, CT
- Erica Marie Dipietro
- David M Donnelly
- Tara Donnelly
- Jayra Dorso
- Pamela Lynn Doubleday
- Shakaya Douglas
- Dr. McHugh and Associates, P.C.
- Quamesha Dunbar
- Richard A Dvarskas
- Emerge Mental Wellness
All providers in Wolcott, CT · Student in an Organized Health Care Education/Training Program in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.