Most Relevant Information
Provider Data
| NPI Number: | 1003385451 |
| Provider Name: | SASHA PERRY PMHNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 7964 |
Most Important Dates
| Enumeration Date: | 11/15/2018 |
| Last Updated: | 11/15/2018 |
Provider Practice Location
21 WATERVILLE RD
AVON
CT
060012097
Practice Location Phone/Fax
| Phone: | 8602840182 |
| Fax: |
Provider Mailing Location
83 MACAULEY AVE
WATERBURY
CT
06705
Provider Mailing Phone/Fax
| Phone: | 2035276111 |
| Fax: |