Individual
STACEY-ANN ALICIA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1351 WHALLEY AVE, NEW HAVEN, CT 06515-1149
(929) 530-1514
Mailing address
61 GRANFIELD AVE, BRIDGEPORT, CT 06610-2301
(929) 530-1514
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12.014962
CT
Other
Enumeration date
09/26/2025
Last updated
10/08/2025
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