Individual
MS. STEPHANIE E BEIERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 CHASE PKWY, WATERBURY, CT 06708-3346
(203) 755-6677
(203) 573-9182
Mailing address
500 CHASE PKWY, WATERBURY, CT 06708-3346
(203) 755-6677
(203) 573-9182
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
003164
CT
363AS0400X
Surgical Physician Assistant
Primary
014394
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003164
CT PHYSICIAN ASSISTANT LICENSE
CT
Enumeration date
10/19/2010
Last updated
11/06/2023
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