Individual
DANIELLE PETROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 CLARA DR, MYSTIC, CT 06355-1959
(860) 572-5782
Mailing address
99 HAWLEY LN FL 3, STRATFORD, CT 06614-1202
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10993
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891417242
—
CT
05
—
1891417242
—
RI
Enumeration date
09/13/2022
Last updated
10/31/2022
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