Individual
STEPHANIE MALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-2222
(860) 679-2792
(860) 679-1494
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8085
(860) 679-2792
(860) 679-1494
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
004778
CT
363LW0102X
Women's Health Nurse Practitioner
Primary
004778
CT
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
004778
CT
Other
Enumeration date
09/29/2011
Last updated
06/05/2025
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