Stacy A Phillips Aprn Registered Nurse
22 Windmill Lane, Canton, CT 06019


Stacy A Phillips Aprn is licensed in the eLicensing system of Connecticut. The license credential ID is 579388. The license type is Registered Nurse. The license status is ACTIVE. The address is 22 Windmill Lane, Canton, CT 06019. The zip code is 06019.


Stacy A Phillips Aprn · 22 Windmill Lane, Canton, CT 06019

Credential ID 579388
Name STACY A PHILLIPS APRN
Type INDIVIDUAL
Address 22 Windmill Lane
Canton, CT 06019
License Credential Registered Nurse
Full Credential Code 10.075385
Credential Type 10
Credential Number 75385
Status ACTIVE
Status Reason CURRENT
Active 1
Issue Date 04/13/2005
Effective Date 10/01/2016
Expiration Date 09/30/2017
Record Refresh Date 08/23/201

STACY A PHILLIPS APRN · Connecticut Business

Stacy A Phillips Aprn · Controlled Substance Registration for Practitioner 22 Windmill Lane, Canton, CT 06019
Stacy A Phillips Aprn · Advanced Practice Registered Nurse 22 Windmill Lane, Canton, CT 06019

Zip 06019 · Registered Nurse · Connecticut Business

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