Whalio Doctors

NPI 1871814509

Carly Brueggestrat, CRNA

Practitioner Anesthesiologist Assistant Stratford, CT

Practice location

Address
7365 Main St, Stratford, CT 06614-1300
Phone
(203) 384-3174
Fax
(203) 384-4619

Registered specialties (2)

Anesthesiologist Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 0044440 (CT)
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X Licence 074163 (CT)

Registry record

NPI
1871814509
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 Jun 2010
Record last updated
11 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.