Individual
STACY SANZONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-6000
Mailing address
198 SCARBOROUGH LN, MIDDLETOWN, CT 06457-7543
(203) 803-8295
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
005989
CT
363LP2300X
Primary Care Nurse Practitioner
5989
CT
Other
Enumeration date
11/14/2014
Last updated
03/27/2017
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