Individual
ELIZABETH A STANKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
520 SAYBROOK RD, SUITE N100, MIDDLETOWN, CT 06457-4700
(860) 344-1801
(860) 358-8657
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-4820
(860) 358-6748
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
000189
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41500116
—
CT
Enumeration date
11/16/2006
Last updated
04/23/2014
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