Individual
DEANNA G XISTRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 HOSPITAL PLZ, BENNETT CANCER CENTER, STAMFORD, CT 06904-9317
(203) 276-2695
(203) 975-7842
Mailing address
1 HOSPITAL PLZ, BENNETT CANCER CENTER, STAMFORD, CT 06904-9317
(203) 276-2695
(203) 975-7842
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
002056
CT
363L00000X
Nurse Practitioner
2056
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004000360
—
CT
Enumeration date
02/05/2007
Last updated
01/16/2017
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