Individual
STEPHANIE CAICEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
84 RACHEL RD APT D, MANCHESTER, CT 06042-2136
(860) 327-3380
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
7446
CT
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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