Healthcare Provider Details

I. General information

NPI: 1396446597
Provider Name (Legal Business Name): SINDHIA SHYRAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2023
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2049 SILAS DEANE HWY STE 209
ROCKY HILL CT
06067-2367
US

IV. Provider business mailing address

197 MEADOW STREET
NEWINGTON CT
06111
US

V. Phone/Fax

Practice location:
  • Phone: 860-515-8689
  • Fax: 860-516-4467
Mailing address:
  • Phone: 860-984-2963
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11786
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: