Individual
MRS. MARY ELLIE STANKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, RN
Contact information
Practice address
22 WESTFIELD AVE, ANSONIA, CT 06401-1158
(203) 736-9919
(855) 212-4728
Mailing address
67 DERBY AVE, DERBY, CT 06418-1328
(203) 732-1330
(203) 732-1332
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
002831
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235596
—
CT
Enumeration date
05/16/2006
Last updated
10/10/2018
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