Individual
MS. VONETTA ELAINE THREAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
727 HONEYSPOT RD, STRATFORD, CT 06615-7172
(203) 375-7542
(203) 332-0376
Mailing address
2110 AVALON DR, SHELTON, CT 06484-7607
(203) 513-8668
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
004782
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004234788
—
CT
Enumeration date
12/27/2011
Last updated
02/24/2014
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