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Shedeen Stephens-bacon
Student in an Organized Health Care Education/Training Program in Bristol, Connecticut
NPI 1952038275

Shedeen Stephens-bacon is a Student in an Organized Health Care Education/Training Program based in Poughkeepsie, CT. Shedeen Stephens-bacon practices in Bristol, CT. The NPI Number for Shedeen Stephens-bacon is 1952038275 and holds a License No. 178679 (Connecticut).

The current practice location address for Shedeen Stephens-bacon is Wheeler Clinic, Bristol, CT and can be reached out via phone at 188-793-3500.

Location: Wheeler Clinic, Bristol, CT, 12601-3947
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952038275
Provider Name
Shedeen Stephens-bacon
Credential
Provider Entity Type
Individual
Gender
Female
Address
Wheeler Clinic, Bristol, CT, 12601-3947
Phone Number
188-793-3500
Fax Number
Provider Enumeration Date
08/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Wheeler Clinic
City
Bristol
State
Connecticut
Zip
06010
Phone Number
188-793-3500
Fax Number
person
Provider Business Mailing Address Details
Address
Wheeler Clinic
City
Bristol
State
Connecticut
Zip
06010
Phone Number
188-793-3500
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
178679 (Connecticut)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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