Active NPIIndividual providerSole proprietor

Ms. Alisa L Da Costa-Rodrigues, APRN

Nurse Practitioner, Family in Coventry, Connecticut

NPI Number1053603118
Practice location
3514 Main St, Coventry, CT 06238-1551
Fax
—
Last updated
March 17, 2018

Alisa Lyudmila Da Costa-Rodrigues is a Nurse Practitioner, Family based in Coventry, CT. Alisa Lyudmila Da Costa-Rodrigues practices in Coventry, CT and has the professional credentials of APRN. The NPI Number for Alisa Lyudmila Da Costa-Rodrigues is 1053603118 and holds a License No. 12.007158 (CT). The current practice location address for Alisa Lyudmila Da Costa-Rodrigues is 3514 Main St, Coventry, CT 06238-1551 and can be reached out via phone at 866-389-2727.

Provider Profile Details

NPI Number
1053603118
Provider Name
Alisa Lyudmila Da Costa-Rodrigues
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
3514 Main St, Coventry, CT 06238-1551
Phone Number
866-389-2727
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
May 9, 2011
Last Update Date
March 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
3514 Main St
Coventry, CT 06238-1551
Zip
06238-1551
Phone Number
866-389-2727
Coventry, CT 06238Get directions →

Provider Business Mailing Address Details

Address
3514 Main St
Coventry, CT 06238-1551
City
Coventry
State
CT
Zip
06238-1551

License Information

License Number
12.007158
License State
CT
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Alisa L Da Costa-Rodrigues, APRN?

The NPI number of Ms. Alisa L Da Costa-Rodrigues, APRN is 1053603118. It was assigned on May 9, 2011 and is currently active in the NPPES registry.

What is the specialty of Ms. Alisa L Da Costa-Rodrigues, APRN?

Ms. Alisa L Da Costa-Rodrigues, APRN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 12.007158.

Where does Ms. Alisa L Da Costa-Rodrigues, APRN practice?

The practice location is 3514 Main St, Coventry, CT 06238-1551. The office can be reached at 866-389-2727 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053603118 directly on the NPPES registry website.

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