Richard Libutti, CRNA
Nurse Anesthetist, Certified Registered in Stamford, CT. Individual provider (NPI-1).
NPI number1164512356
StatusActive
Last updated in NPPESDec 21, 2022
Details
- NPI
- 1164512356
- Entity type
- Individual (NPI-1)
- Name
- Mr. Richard Libutti
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 16, 2006
- Certification date
- Dec 21, 2022
- Last updated
- Dec 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 082016 | CT | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | r154012 | MD | |
| 367500000X | Nurse Anesthetist, Certified Registered | 533128-1 | NY |
Practice location
1 Hospital PlzStamford, CT 06902-3602
Phone 203-325-7490
Mailing address
262 Eden RdStamford, CT 06907-1008
Phone 917-939-0887
Other practice locations
2401 W Belvedere Ave
Baltimore, MD 21215-5216
Baltimore, MD 21215-5216
Phone 410-601-5209 · Fax 410-601-8841
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