Peccerillo, Sandra
Peccerillo, Sandra is an individual health care provider with primary practice located at 1062 Barnes Rd , Wallingford CT 06492-6012. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Peccerillo, Sandra can be contacted via phone (203) 294-6328.Contact Information
Primary practice address
1062 Barnes Rd
Wallingford CT 06492-6012
Phone: (203) 294-6328
Fax: (203) 294-6346
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 001730 | Connecticut |
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 001730 | Connecticut |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1730 | Connecticut |
Profile Details
NPI number | 1932101854 |
---|---|
LBN Legal business name | Peccerillo, Sandra |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 11th, 2005 |
Last updated | Jun 25th, 2024 - about 3 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1932101854 | NPPES |
Connecticut | MEDICAID | 00421284101 |
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