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

Stacy Shauna Hethman, NP

Individual provider Nurse Practitioner · NPI 1336039379

Stacy Shauna Hethman, NP is a Nurse Practitioner in East Hartford, Connecticut. Qualified in 2023, 3 years ago. Licensed in Connecticut.

Years since qualifying
3
Licensed in
CT
In the registry since
2025
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

21 Wood Dr
East Hartford, CT 06108-1232
Phone: (860) 478-5249
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 14839 (CT)

Record details

NPI number1336039379
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 9, 2025
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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