Individual
STEPHANIE LAROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2979 MAIN ST, BRIDGEPORT, CT 06606-4284
(203) 382-2345
Mailing address
157 CHURCH ST, FL 19, NEW HAVEN, CT 06510-2100
(866) 949-0108
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7378
CT
Other
Enumeration date
01/12/2018
Last updated
01/07/2022
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