Individual provider · Type 1 NPI

Stephanie Pettingle, APRN DNP

Family Nurse Practitioner · Shelton, CT

NPI number 1205258605 Active

Practice location

4 Corporate Dr
Shelton, CT 06484-6211

Mailing address

4 Corporate Dr Ste 394
Shelton, CT 06484-6240

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XF338355 (NY)
Family Nurse Practitioner Primary 363LF0000X5676 (CT)

Family Nurse Practitioner: Definition to come...

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About NPI 1205258605

Stephanie Pettingle, APRN DNP's National Provider Identifier is 1205258605, issued on Jan 20, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Shelton, CT. The record was last updated on Aug 2, 2022.