Individual
STEPHANIE GRULLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
374 GRAND AVE, NEW HAVEN, CT 06513-3733
(203) 777-7411
Mailing address
120 BELLEVUE RD, NEW HAVEN, CT 06511-2800
(203) 980-8911
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
211279
CT
367A00000X
Advanced Practice Midwife
Primary
CNM10349
CT
Other
Enumeration date
03/13/2025
Last updated
08/20/2025
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