Healthcare Provider Details

I. General information

NPI: 1821557026
Provider Name (Legal Business Name): STEPHANIE VENTURINI APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2019
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

93 CHERRY ST UNIT G1
NEW CANAAN CT
06840-5521
US

IV. Provider business mailing address

42 SCUDDER RD
NEWTOWN CT
06470-1763
US

V. Phone/Fax

Practice location:
  • Phone: 844-359-8363
  • Fax: 833-929-3520
Mailing address:
  • Phone: 203-804-4113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number8131
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: