Active NPIIndividual providerSole proprietor

Maryanne D Cristodero, RN, APRN, FNP-BC

Nurse Practitioner, Family in Stratford, Connecticut

NPI Number1083593909
Practice location
2909 Main St, Stratford, CT 06614-4960
Fax
203-377-3897
Last updated
August 4, 2026

Maryanne D Cristodero is a Nurse Practitioner, Family based in Stratford, CT. Maryanne D Cristodero practices in Stratford, CT and has the professional credentials of RN, APRN, FNP-BC. The NPI Number for Maryanne D Cristodero is 1083593909 and holds a License No. 74571 (CT). The current practice location address for Maryanne D Cristodero is 2909 Main St, Stratford, CT 06614-4960 and can be reached out via phone at 203-378-3080 and via fax at 203-377-3897.

Provider Profile Details

NPI Number
1083593909
Provider Name
Maryanne D Cristodero
Credential
RN, APRN, FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
2909 Main St, Stratford, CT 06614-4960
Phone Number
203-378-3080
Fax Number
203-377-3897
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
August 27, 2025
Last Update Date
August 4, 2026
Certification Date
August 4, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
2909 Main St
Stratford, CT 06614-4960
Zip
06614-4960
Phone Number
203-378-3080
Fax Number
203-377-3897
Stratford, CT 06614Get directions →

Provider Business Mailing Address Details

Address
67 Green Knolls Ln
Fairfield, CT 06824-3509
City
Fairfield
State
CT
Zip
06824-3509
Phone Number
917-750-5121

License Information

License Number (1)
74571
License State (1)
CT
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
17837
License State (2)
CT
Taxonomy (2)
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 Maryanne D Cristodero, RN, APRN, FNP-BC?

The NPI number of Maryanne D Cristodero, RN, APRN, FNP-BC is 1083593909. It was assigned on August 27, 2025 and is currently active in the NPPES registry.

What is the specialty of Maryanne D Cristodero, RN, APRN, FNP-BC?

Maryanne D Cristodero, RN, APRN, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 74571.

Where does Maryanne D Cristodero, RN, APRN, FNP-BC practice?

The practice location is 2909 Main St, Stratford, CT 06614-4960. The office can be reached at 203-378-3080 (phone) or 203-377-3897 (fax).

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 1083593909 directly on the NPPES registry website.

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