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Individual

STEPHANIE F. MERCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.P.R.N.

Contact information

Practice address
15 CORPORATE DR, SUITE 2-1, TRUMBULL, CT 06611-1351
(203) 452-2446
(203) 452-2424
Mailing address
15 CORPORATE DR, SUITE 2-1, TRUMBULL, CT 06611-1351
(203) 452-2446
(203) 452-2424

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
001076
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
400001076CT01
ANTHEM BLUE CROSS BLUE SH
CT
Enumeration date
07/19/2006
Last updated
10/19/2007
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