Individual
JODI LYNN DOSTALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
24 HOSPITAL AVE, DANBURY, CT 06810-6099
(203) 739-7101
Mailing address
12 SPRING LN, BROOKFIELD, CT 06804-1909
(203) 437-1784
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11768
CT
363LF0000X
Family Nurse Practitioner
F348459-01
NY
Other
Enumeration date
09/24/2021
Last updated
05/22/2023
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