Individual
MS. STEPHANIE LAUREN GUNNOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1625 STRAITS TPKE, SUITE 110, MIDDLEBURY, CT 06762-1836
(203) 758-8107
(203) 568-2925
Mailing address
1625 STRAITS TPKE, SUITE 110, MIDDLEBURY, CT 06762-1836
(203) 758-8107
(203) 568-2925
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0058973
CT
363LA2200X
Adult Health Nurse Practitioner
05969
CT
Other
Enumeration date
11/10/2014
Last updated
12/14/2017
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