Individual
STACEY LAROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
20 YORK ST, CB-2041, NEW HAVEN, CT 06510-3220
(203) 824-1245
(203) 200-2657
Mailing address
20 YORK ST, CB-2041, NEW HAVEN, CT 06510-3220
(203) 824-1245
(203) 200-2657
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5824
CT
Other
Enumeration date
08/06/2014
Last updated
04/29/2017
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