Individual
STEPHANIE LYNN BURR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDN,CNS
Contact information
Practice address
57 VAN ORMAN ST, OAKVILLE, CT 06779-1922
(860) 417-8398
Mailing address
57 VAN ORMAN ST, OAKVILLE, CT 06779-1922
(860) 417-8398
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
001917
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001917
CDN
CT
Enumeration date
11/04/2020
Last updated
11/04/2020
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