Provider Demographics
NPI:1851971659
Name:STEFANI CATENZARO, APRN PLLC
Entity Type:Organization
Organization Name:STEFANI CATENZARO, APRN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEFANI
Authorized Official - Middle Name:
Authorized Official - Last Name:CATENZARO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:860-436-1876
Mailing Address - Street 1:8 RYAN CT
Mailing Address - Street 2:
Mailing Address - City:CROMWELL
Mailing Address - State:CT
Mailing Address - Zip Code:06416-1111
Mailing Address - Country:US
Mailing Address - Phone:860-436-1876
Mailing Address - Fax:
Practice Address - Street 1:750 OLD MAIN ST STE 308
Practice Address - Street 2:
Practice Address - City:ROCKY HILL
Practice Address - State:CT
Practice Address - Zip Code:06067-1567
Practice Address - Country:US
Practice Address - Phone:203-443-1503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-14
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center