Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Shantelle Brokaw

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1114462561

Mrs. Shantelle Brokaw is a Psychiatric/Mental Health Nurse Practitioner in Waterbury, Connecticut. Licensed in Connecticut. Registered with an NPI since 2016.

Licensed in
CT
In the registry since
2016

Practice location Address checks out

128 Cedar Ave
Waterbury, CT 06705-2700
Phone: (203) 757-9271
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 6831 (CT)

Record details

NPI number1114462561
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 21, 2016
Last updated in NPPESApril 14, 2020
Certification dateApril 14, 2020

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