Amazing Victory LLC
NPI #1134826712 in Fairfield, Connecticut
Provider Information
- NPI Number
- 1134826712
- Entity Type
- Organization
- Organization Name
- Amazing Victory LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Feb 14, 2023
- Last Updated
- Feb 14, 2023
Practice Location
- Address
- 1201 KINGS HWY STE 2
- City
- Fairfield
- State
- Connecticut
- ZIP Code
- 06824-5319
- Phone
- (475) 500-2334
Authorized Official
- Name
- MRS. STEPHANIE LAROSE, APRN
- Title
- CEO
- Phone
- (475) 500-2334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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