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:
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Health care specialties

SpecialtyCodeLicense #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 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932101854 NPPES
Connecticut MEDICAID 00421284101

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