Individual provider · Type 1 NPI

Susan K. Destefano, APRN

Gerontology Nurse Practitioner · New Haven, CT

NPI number 1225756752 Active

Practice location

20 York St
New Haven, CT 06510-3220

Call (203) 688-2207 Map

Fax (203) 688-9354

Mailing address

20 Ronald Dr
Fairfield, CT 06825-3627

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X10869 (CT)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1225756752

Susan K. Destefano, APRN's National Provider Identifier is 1225756752, issued on Aug 19, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in New Haven, CT. The record was last updated on Aug 19, 2022.