| NPI | 1467586198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY R NERENSTONE President 860-249-6291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2013-04-25 |