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Individual

DR. STEPHANIE PETTINGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN DNP

Contact information

Practice address
4 CORPORATE DR, SHELTON, CT 06484-6211
(203) 225-0375
Mailing address
4 CORPORATE DR STE 394, SHELTON, CT 06484-6240
(203) 225-0375

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5676
CT
363LF0000X
Family Nurse Practitioner
F338355
NY

Other

Enumeration date
01/20/2014
Last updated
08/02/2022
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