Individual
MS. JULIE HETHERINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 ATLANTIC ST, STAMFORD, CT 06902-6805
(203) 327-5111
(203) 332-0376
Mailing address
805 ATLANTIC ST, STAMFORD, CT 06902-6805
(203) 327-5111
(203) 332-0376
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
001029
CT
363LF0000X
Family Nurse Practitioner
241904
MA
Other
Enumeration date
04/10/2008
Last updated
12/29/2011
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