Individual
ELIZABETH JENTZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1275 SUMMER ST, STAMFORD, CT 06905-5359
(203) 978-5775
Mailing address
3231 TOWN WALK DR, HAMDEN, CT 06518-3706
(203) 427-1624
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
143279
CT
176B00000X
Midwife
Primary
501
CT
Other
Enumeration date
07/29/2020
Last updated
09/14/2021
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