Individual provider · Type 1 NPI
Stacy Ann Datre, RN
Pediatric Registered Nurse · Greenwich, CT
NPI number
1740507847
Active
Practice location
5 Perryridge Rd
Greenwich, CT 06830-4608
Mailing address
110 Colony Rd
Seymour, CT 06483-3252
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse Primary | 163WP0200X | E54875 (CT) |
Pediatric Registered Nurse: Definition to come...
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About NPI 1740507847
Stacy Ann Datre, RN's National Provider Identifier is 1740507847, issued on Apr 28, 2010. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Greenwich, CT. The record was last updated on Apr 28, 2010.