MRS. MADONNA KAY FASULA A.P.R.N. NPI 1053626929

NPI Information

  • NPI: 1053626929
  • Provider Name: MRS. MADONNA KAY FASULA, A.P.R.N.
  • Classification: Clinical Nurse Specialist - 364SP0809X
  • Specialization: Psychiatric/Mental Health, Adult
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 YORK ST STE 2J
    NEW HAVEN, CT
    ZIP 06511
  • Phone: (203) 764-9131

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NPI Details

MRS. Madonna Kay Fasula, A.P.R.N. is a psychiatric/mental health and adult clinical nurse specialist in New Haven, CT. MRS. Madonna Kay Fasula, A.P.R.N. NPI is 1053626929. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 YORK ST STE 2J
NEW HAVEN, CT
ZIP 06511-664
Phone: (203) 764-9131
Fax: (203) 764-5963

The NPI 1053626929 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/16/2010 and was last updated on 8/16/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1364SP0809XClinical Nurse SpecialistPsychiatric/Mental Health, Adult002435CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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