Individual
JILL VENTRELLA ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
292 LONG RIDGE RD, FAIRFIELD COUNTY DIABETES AND ENDOCRINE CENTER, STAMFORD, CT 06902-1627
(203) 276-7213
(203) 276-4975
Mailing address
292 LONG RIDGE RD STE 206, STAMFORD, CT 06902-1627
(203) 276-7213
(203) 276-4975
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
02119
CT
Other
Enumeration date
10/23/2006
Last updated
12/14/2015
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