Individual
MS. LINDA K STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
32 NECK RD, OLD LYME, CT 06371-1422
(860) 227-8775
Mailing address
32 NECK RD, OLD LYME, CT 06371-1422
(860) 227-8775
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
003493
CT
363LG0600X
Gerontology Nurse Practitioner
Primary
003493
CT
Other
Enumeration date
04/03/2007
Last updated
05/02/2021
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