Individual provider · Type 1 NPI

Stephanie Shongut

Student in an Organized Health Care Education/Training Program · West Haven, CT

NPI number 1225877996 Active

Practice location

950 Campbell Ave
West Haven, CT 06516-2770

Mailing address

8508 Rosedale Dr
Oak Ridge, NC 27310-8712

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1225877996

Stephanie Shongut's National Provider Identifier is 1225877996, issued on May 22, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in West Haven, CT. The record was last updated on May 22, 2024.