MEDICARE: SHIRLEY JOSEPH 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	163W00000X	Registered Nurse	093616	NY
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	006959	CT

General Provider Information

NPI Number	:	1760921647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHIRLEY JOSEPH APRN

Provider Business Mailing Address
First Line	:	PO BOX 1892
Second Line	:
City	:	NAUGATUCK
State	:	CT
Zip	:	06770-8602
Country	:	US
Telephone Number	:	203-687-5668
Fax Number	:	860-489-2604

Provider Business Practice Location Address
First Line	:	1389 W MAIN ST STE 302
Second Line	:
City	:	WATERBURY
State	:	CT
Zip	:	06708-3115
Country	:	US
Telephone Number	:	203-687-5668
Fax Number	:	860-489-2604

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

Provider Enumeration Date	:	02/13/2017
Last Update Date	:	09/23/2021

Similar Medicare Providers

1811096928 — KITTY BHIDE MSW LCSW
Practice Location Address:

1389 WEST MAIN STREET , SUITE 210
WATERBURY, CT
06708-3115

Practice Phone: 203-573-1291
Practice Fax: 203-754-5646

1063602712 — GRETCHEN PETTINICO PT
Practice Location Address:

1389 W MAIN ST STE 225
WATERBURY, CT
06708-3115

Practice Phone: 203-757-1474
Practice Fax: 203-757-1474

1033545637 — CINDYJACKSON,CHILDRENS THERAPY SERVICES
Practice Location Address:

1389 W MAIN ST STE 225
WATERBURY, CT
06708-3115

Practice Phone: 203-757-1474
Practice Fax: 203-591-1936

1447651690 — MR. MATTHEW L BALANDA APRN
Practice Location Address:

1389 W MAIN ST STE 205
WATERBURY, CT
06708-3115

Practice Phone: 203-755-7080
Practice Fax: 203-346-6244

1952934507 — MR. DONALD JOSEPH SMITH JR.
Practice Location Address:

1389 W MAIN ST STE 312
WATERBURY, CT
06708-3115

Practice Phone: 203-768-5328
Practice Fax:

1780218032 — SHARON VALERIO PT
Practice Location Address:

1389 W MAIN ST STE 225
WATERBURY, CT
06708-3115

Practice Phone: 203-271-3288
Practice Fax: 203-591-1936

Directions to “ SHIRLEY JOSEPH 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.