Individual
COURTNEY STREETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
21 WATERVILLE RD, AVON, CT 06001-2097
(860) 284-0182
Mailing address
21 WATERVILLE RD, AVON, CT 06001-2097
(860) 284-0182
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12.009932
CT
Other
Enumeration date
07/28/2020
Last updated
07/10/2023
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