Individual
SUSAN K DESTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-2207
(203) 688-9354
Mailing address
20 RONALD DR, FAIRFIELD, CT 06825-3627
(203) 231-3811
(203) 688-9354
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
10869
CT
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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