Individual
JUSTIN MATTHEW PEDNEAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, RN, CFRN, FP-C
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
4079
CT
163WC0200X
Critical Care Medicine Registered Nurse
161494
CT
163WF0300X
Flight Registered Nurse
Primary
161494
CT
Other
Enumeration date
03/07/2026
Last updated
03/09/2026
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