Active NPIIndividual provider

Stacy A Datre, RN

Registered Nurse, Pediatrics in Greenwich, Connecticut

NPI Number1740507847
Practice location
5 Perryridge RD, Greenwich, CT 06830-4608
Fax
—
Last updated
April 28, 2010

Stacy Ann Datre is a Registered Nurse, Pediatrics based in Greenwich, CT. Stacy Ann Datre practices in Greenwich, CT and has the professional credentials of RN. The NPI Number for Stacy Ann Datre is 1740507847 and holds a License No. E54875 (CT). The current practice location address for Stacy Ann Datre is 5 Perryridge RD, Greenwich, CT 06830-4608 and can be reached out via phone at 203-863-3553.

Provider Profile Details

NPI Number
1740507847
Provider Name
Stacy Ann Datre
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
5 Perryridge RD, Greenwich, CT 06830-4608
Phone Number
203-863-3553
Primary Taxonomy
Registered Nurse, Pediatrics · 163WP0200X
Sole Proprietor
No
Provider Enumeration Date
April 28, 2010
Last Update Date
April 28, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Perryridge RD
Greenwich, CT 06830-4608
Zip
06830-4608
Phone Number
203-863-3553
Greenwich, CT 06830Get directions →

Provider Business Mailing Address Details

Address
110 Colony RD
Seymour, CT 06483-3252
City
Seymour
State
CT
Zip
06483-3252
Phone Number
203-732-2706

License Information

License Number
E54875
License State
CT
Taxonomy
Registered Nurse, Pediatrics · 163WP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stacy A Datre, RN?

The NPI number of Stacy A Datre, RN is 1740507847. It was assigned on April 28, 2010 and is currently active in the NPPES registry.

What is the specialty of Stacy A Datre, RN?

Stacy A Datre, RN is registered under the primary taxonomy Registered Nurse, Pediatrics (code 163WP0200X), licensed in CT under license number E54875.

Where does Stacy A Datre, RN practice?

The practice location is 5 Perryridge RD, Greenwich, CT 06830-4608. The office can be reached at 203-863-3553 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740507847 directly on the NPPES registry website.

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