Individual
ERICA STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 DEVINE ST, NORTH HAVEN, CT 06473-2195
(203) 407-8002
Mailing address
6 DEVINE ST, NORTH HAVEN, CT 06473-2195
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
120060
CT
363LF0000X
Family Nurse Practitioner
Primary
010124
CT
Other
Enumeration date
05/06/2021
Last updated
12/14/2021
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