STAYWELL PEDIATRIC LLC
Organization (NPI-2)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1255521019- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 365 ELM ST, WEST HAVEN, CT, 065164217
- Phone
- (203) 932-3227
- Fax
- (203) 931-2847
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
Primary License: CT #000373