Individual provider · Type 1 NPI

Stephanie Larose

Family Nurse Practitioner · Bridgeport, CT

NPI number 1235647181 Active

Practice location

2979 Main St
Bridgeport, CT 06606-4284

Mailing address

157 Church St, Fl 19
New Haven, CT 06510-2100

Other practice locations

  • 157 Church St Fl 19, New Haven, CT 06510-2100 · (866) 949-0108

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X7378 (CT)

Family Nurse Practitioner: Definition to come...

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About NPI 1235647181

Stephanie Larose's National Provider Identifier is 1235647181, issued on Jan 12, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bridgeport, CT. The record was last updated on Jan 7, 2022.