MEDICARE: CHELSEY ANN SHABAN APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner	12.010623	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417696840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEY ANN SHABAN APRN

Provider Business Mailing Address
First Line	:	284 REGAN RD
Second Line	:
City	:	MIDDLEBURY
State	:	CT
Zip	:	06762-2524
Country	:	US
Telephone Number	:	203-592-1214
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 S MAIN ST
Second Line	:
City	:	THOMASTON
State	:	CT
Zip	:	06787-1740
Country	:	US
Telephone Number	:	860-283-6255
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2022
Last Update Date	:	06/02/2022

Similar Medicare Providers

1023094133 — DR. GEORGE MEHRIZ BARCHINI
Practice Location Address:

205 S MAIN ST
THOMASTON, CT
06787-1740

Practice Phone: 860-283-6255
Practice Fax: 860-283-6202

1265498190 — PRIMARY CARE CENTER OF THOMASTON, LLC
Practice Location Address:

205 S MAIN ST
THOMASTON, CT
06787-1740

Practice Phone: 860-283-6255
Practice Fax: 860-283-6202

1265929533 — DESIREE LYNN LAVERY NP-C
Practice Location Address:

205 S MAIN ST
THOMASTON, CT
06787-1740

Practice Phone: 860-283-6255
Practice Fax:

1932867751 — MRS. KIERSTEN REBECCA WAMSER LCSW
Practice Location Address:

246 BAYBERRY DR
THOMASTON, CT
06787-1082

Practice Phone: 203-217-9050
Practice Fax:

1851389241 — THOMASTON VOLUNTEER AMBULANCE CORPS INC
Practice Location Address:

237 SOUTH MAIN ST
THOMASTON, CT
06787-1813

Practice Phone: 860-283-6348
Practice Fax: 860-283-6703

1073592978 — DR. JOHN P MOSCHELLO MD
Practice Location Address:

130 S MAIN ST
THOMASTON, CT
06787-1741

Practice Phone: 860-283-0286
Practice Fax: 203-575-5119

Directions to “ CHELSEY ANN SHABAN APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.