Individual
STEPHANIE ANN FADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 545-5000
Mailing address
221 VINE ST APT 36, PHILADELPHIA, PA 19106-1231
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
8082
CT
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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