Individual
CATHERINE STILLMAN SPERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN RN
Contact information
Practice address
80A HERITAGE VLG # A, SOUTHBURY, CT 06488-1660
(203) 833-1565
Mailing address
80A HERITAGE VLG # A, SOUTHBURY, CT 06488-1660
(203) 833-1565
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
77738
CT
163WG0000X
General Practice Registered Nurse
Primary
77738
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77738
NURSING
CT
Enumeration date
01/20/2021
Last updated
01/20/2021
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