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1437260858
STACEY L WYNER
NEW HAVEN, CT
NPI
1437260858
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 1450)
Enumeration Date
2006-08-31
Last Update Date
2018-08-15
Business Address
STACEY L WYNER APRN
428 COLUMBUS AVE
NEW HAVEN, CT 06519
Phone number: 203-503-3000
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Mailing Address
STACEY L WYNER APRN
PO BOX 7720 CREDENTIALING SPECIALIST
NEW HAVEN, CT 06519-0720
Phone number: 203-503-3174
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