Individual
CHRISTIE M CZARNECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-7252
(203) 732-1539
Mailing address
67 MAPLE AVE, DERBY, CT 06418-1328
(203) 732-7252
(203) 732-1539
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9360
CT
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
9360
CT
363LN0005X
Critical Care Neonatal Nurse Practitioner
F350455
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F350455
—
NY
Enumeration date
07/04/2019
Last updated
04/30/2024
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