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

Staywell Pediatric LLC

Organization Pediatric Nurse Practitioner · NPI 1255521019

Staywell Pediatric LLC is a Pediatric Nurse Practitioner 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
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