Individual
SANDRA PECCERILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1062 BARNES RD, WALLINGFORD, CT 06492-6012
(203) 294-6328
(203) 294-6346
Mailing address
231 COURT ST, WEST HAVEN, CT 06516-4932
(120) 640-8551
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
001730
CT
363LF0000X
Family Nurse Practitioner
Primary
1730
CT
363LP0200X
Pediatric Nurse Practitioner
001730
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00421284101
—
CT
Enumeration date
08/11/2005
Last updated
06/25/2024
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