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

Stephanie Grullon, RN

Individual provider Registered Nurse · NPI 1710786470

Stephanie Grullon, RN is a Certified Nurse Midwife (CNM) in New Haven, Connecticut. Qualified in 2025, 1 year ago. Practices with Fair Haven Community Health Clinic Inc, a 44-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
1
Licensed in
CT
In the registry since
2025
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

374 Grand Ave
New Haven, CT 06513-3733
Phone: (203) 777-7411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X · Licence CNM10349 (CT)
Registered Nurse Taxonomy 163W00000X · Licence 211279 (CT)

Record details

NPI number1710786470
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedMarch 13, 2025
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Fair Haven Community Health Clinic Inc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in New Haven