Individual
STEPHANIE WATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(860) 545-9000
Mailing address
29 WALL ST, BUZZARDS BAY, MA 02532-3041
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
14164
CT
363LP0200X
Pediatric Nurse Practitioner
APRN02057
RI
363LP0200X
Pediatric Nurse Practitioner
RN202339
MA
Other
Enumeration date
05/19/2019
Last updated
12/03/2024
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