Individual provider · Type 1 NPI
Stacy Shauna Hethman, NP
Nurse Practitioner · East Hartford, CT
Practice location
21 Wood Dr
East Hartford, CT 06108-1232
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 14839 (CT) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
Other nurse practitioner providers in East Hartford
About NPI 1336039379
Stacy Shauna Hethman, NP's National Provider Identifier is 1336039379, issued on Jul 9, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in East Hartford, CT. The record was last updated on Jul 9, 2025.