Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Staywell Pediatric LLC

Organization Pediatric Nurse Practitioner · NPI 1255521019

Staywell Pediatric LLC provides Pediatric Nurse Practitioner services in West Haven, Connecticut. Licensed in Connecticut. Registered with an NPI since 2007.

Licensed in
CT
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

365 Elm St
West Haven, CT 06516-4217 Not confirmed with CMS for 19 years — call before visiting
Phone: (203) 932-3227
Fax: (203) 931-2847
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 000373 (CT)

Record details

NPI number1255521019
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Etkin — Owner · (230) 932-3227
NPI enumeratedJuly 27, 2007
Last updated in NPPESJuly 27, 2007
Mailing address365 Elm St, West Haven, CT 06516-4217

Other providers in West Haven