Individual
STACEY BIRNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
184 DEERFIELD RD, WINDSOR, CT 06095-4252
(860) 688-7926
(860) 687-1798
Mailing address
11 TUNXIS RD, TARIFFVILLE, CT 06081-9619
(860) 408-1278
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
072221
CT
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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