Stephanie Larose, | |
2979 Main St, Bridgeport, CT 06606-4284 | |
(203) 382-2345 | |
Not Available |
Full Name | Stephanie Larose |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2979 Main St, Bridgeport, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235647181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 7378 (Connecticut) | Primary |
Entity Name | Harvest Healthcare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477712917 PECOS PAC ID: 9931276979 Enrollment ID: O20080917000499 |
Entity Name | St. Vincent's Multispecialty Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043544489 PECOS PAC ID: 6204977218 Enrollment ID: O20100112000538 |
Entity Name | Step Up Care Pc Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154884740 PECOS PAC ID: 5496088346 Enrollment ID: O20190607000156 |
Entity Name | Lswhb Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407325939 PECOS PAC ID: 9638414204 Enrollment ID: O20220308002217 |
Entity Name | Advanced Telepsych Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508456377 PECOS PAC ID: 6800275603 Enrollment ID: O20230106001717 |
Entity Name | Brighter Day Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710660584 PECOS PAC ID: 2668826611 Enrollment ID: O20231213000362 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Larose, 157 Church St, Fl 19, New Haven, CT 06510-2100 Ph: (866) 949-0108 | Stephanie Larose, 2979 Main St, Bridgeport, CT 06606-4284 Ph: (203) 382-2345 |
Ryan Keenan, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000 | |
Caroline Mead Farrell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 725 Park Ave, Bridgeport, CT 06604 Phone: 908-489-4847 | |
Miss Sandra Shipkowitz, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-4490 | |
Patricia Anne Simpson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-368-3000 | |
Dr. Samantha Mraz, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 46 Albion St, Bridgeport, CT 06605 Phone: 203-332-3584 | |
Esther M Mervil, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 471 Barnum Ave, Bridgeport, CT 06608 Phone: 203-333-6864 Fax: 203-332-0376 | |
Asena Derohannesian, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 425 Thorme St, Bridgeport, CT 06606 Phone: 203-275-4115 Fax: 203-275-0198 |