Peter Statkevich, BSN, RN Valid NPI

Individual provider · Registered Nurse · Fairfield, CT

NPI

1154288900

Type

Individual (Type 1)

Primary specialty

Registered Nurse

Specialty group

Nursing Service Providers

Taxonomy code

163W00000X

License number

821402 (NY)

Sex

Male

Sole proprietor

Yes

Enumerated

2026-01-05

Last updated

2026-01-05