LESLIE STOCKING-JOHNSON

AVON, CT
NPI1790730950
Former NameLESLIE STOCKING
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: CT  001627)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: CT  001627)
Enumeration Date2006-05-24
Last Update Date2018-11-26
Business Address
LESLIE STOCKING-JOHNSON APRN
21 WATERVILLE RD
AVON, CT 06001-2097
Phone number: 860-674-2691
Mailing Address
LESLIE STOCKING-JOHNSON APRN
21 WATERVILLE RD
AVON, CT 06001-2097
Phone number: 860-674-2691