MRS. MICHELLE A MATTIACCIO APRN BC NPI 1386710176

NPI Information

NPI: 1386710176
Provider Name: MRS. MICHELLE A MATTIACCIO, APRN BC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
88 GRANDVIEW AVE
WATERBURY, CT
ZIP 06708
Phone: (203) 573-7500
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MRS. Michelle A Mattiaccio, APRN BC is an adult health nurse practitioner in Waterbury, CT. MRS. Michelle A Mattiaccio, APRN BC NPI is 1386710176. 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:

88 GRANDVIEW AVE
WATERBURY, CT
ZIP 06708-509
Phone: (203) 573-7500
Fax: (203) 573-6575

The enumeration date for this NPI number is 11/27/2006 and was last updated on 3/25/2014.

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
1	363LA2200X	Nurse Practitioner	Adult Health	003538	CONNECTICUT	Yes

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: 4/28/2024

NPI Synchronization or Removal

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