Individual
STEPHANIE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
557 PROSPECT AVE STE 102, WEST HARTFORD, CT 06105-2965
(860) 606-4090
(888) 268-2187
Mailing address
1060 MAPLETON AVE, SUFFIELD, CT 06078-1333
(413) 244-1954
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
23.00314
CT
Other
Enumeration date
07/09/2014
Last updated
04/13/2026
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