Stephanie Kacik
Nurse Practitioner Nurse Practitioner - Gerontology
20 York St
New Haven
, Connecticut 06510-3220
Stephanie Kacik
Nurse Practitioner Nurse Practitioner - Gerontology
20 York St
New Haven
, Connecticut 06510-3220
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Stephanie Kacik
- 20 York St
- New Haven, CT
- Zip : 06510-3220
- Phone :
Second Address
- Stephanie Kacik
- 20 York St
- New Haven, CT
- Zip : 06510-3220
- Phone : (203) 200-4363
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5954 | CT |
| N | 363LG0600X | Nurse Practitioner - Gerontology | 5954 | CT |
National Provider Identifier
| NPI | 1023412400 |
|---|---|
| Provider Name | Stephanie Kacik |
| First Address | New Haven, CT 06510-3220 |
| Second Address | New Haven, CT 06510-3220 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/10/2014 |
| Last Update Date | 07/11/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.