Wilborne, Stephanie L

Wilborne, Stephanie L is an individual health care provider with primary practice located at 374 Grand Ave Fair Haven Community Health Center, New Haven CT 06513. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family Health is her primary health care specialty. Wilborne, Stephanie L can be contacted via phone (203) 777-7411.

Contact Information

Primary practice address
374 Grand Ave Fair Haven Community Health Center New Haven CT 06513
Phone: (203) 777-7411
Fax: (203) 777-8506
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X 002941 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 002941 Connecticut

Profile Details

NPI number 1366419251
LBN Legal business name Wilborne, Stephanie L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Dec 15th, 2014 - about 10 years 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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