Shirley Fairley, is a
Licensed Practical Nurse based in Windsor, Connecticut. Shirley Fairley is licensed to practice in Connecticut (license number 42973) and her current practice location is
360 Bloomfield Ave Ste 301, Windsor, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(959) 237-2389.
NPI number for Shirley Fairley is 1568182897 and her current mailing address is 360 Bloomfield Ave Ste 301, Windsor, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568182897.
Provider's Profile
| Full Name | Shirley Fairley |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 360 Bloomfield Ave Ste 301, Windsor, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1568182897
- Provider Enumeration Date: 08/29/2022
- Last Update Date: 08/29/2022
Medical Identifiers
Medical identifiers for Shirley Fairley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568182897 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 42973 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shirley Fairley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shirley Fairley,
360 Bloomfield Ave Ste 301,
Windsor, CT 06095-2700
Ph: (959) 237-2389 | Shirley Fairley,
360 Bloomfield Ave Ste 301,
Windsor, CT 06095-2700
Ph: (959) 237-2389 |
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