Individual
DR. JEANNIE VIRGINIA PASACRETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PHD
Contact information
Practice address
4 ABBEY LN, NEWTOWN, CT 06470-2784
(203) 270-0080
(203) 304-1191
Mailing address
4 ABBEY LN, NEWTOWN, CT 06470-2784
(203) 270-0080
(203) 304-1191
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
001359
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004253738
—
CT
Enumeration date
05/27/2006
Last updated
03/10/2022
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