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Stacie Ricketts-mccook
Acute Care Nurse Practitioner in Wallingford, Connecticut
NPI 1053956045

Stacie Ricketts-mccook is an Acute Care Nurse Practitioner based in Wallingford, CT and is specialized in Acute Care. Stacie Ricketts-mccook practices in Wallingford, CT. The NPI Number for Stacie Ricketts-mccook is 1053956045 and holds a License No. 10235 (Connecticut).

The current practice location address for Stacie Ricketts-mccook is 863 N Main Street Ext Ste 200, Wallingford, CT and can be reached out via phone at 203-265-3280.

Location: 863 N Main Street Ext Ste 200, Wallingford, CT, 06492-2434
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053956045
Provider Name
Stacie Ricketts-mccook
Credential
Provider Entity Type
Individual
Gender
Female
Address
863 N Main Street Ext Ste 200, Wallingford, CT, 06492-2434
Phone Number
203-265-3280
Fax Number
Provider Enumeration Date
11/13/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
863 N Main Street Ext Ste 200
City
Wallingford
State
Connecticut
Zip
06492-2434
Phone Number
203-265-3280
Fax Number
person
Provider Business Mailing Address Details
Address
863 N Main Street Ext Ste 200
City
Wallingford
State
Connecticut
Zip
06492-2434
Phone Number
203-265-3280
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
10235 (Connecticut)
Definition
Definition to come...
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