Hethman, Stacy Shauna

Hethman, Stacy Shauna is an individual health care provider with primary practice located at 21 Wood Dr , East Hartford CT 06108-1232. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Hethman, Stacy Shauna can be contacted via phone (860) 478-5249.

Contact Information

Primary practice address
21 Wood Dr East Hartford CT 06108-1232
Phone: (860) 478-5249
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 14839 Connecticut

Profile Details

NPI number 1336039379
LBN Legal business name Hethman, Stacy Shauna
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2025
Last updated Jul 9th, 2025 - about last year

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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