Active NPIIndividual providerSole proprietor

Mikayla C Surina, FNP-BC

Nurse Practitioner, Family in Wallingford, Connecticut

NPI Number1285471607
Practice location
950 Yale Ave Ste 39, Wallingford, CT 06492-1884
Fax
—
Last updated
July 12, 2024

Mikayla Colleen Surina is a Nurse Practitioner, Family based in Wallingford, CT. Mikayla Colleen Surina practices in Wallingford, CT and has the professional credentials of FNP-BC. The NPI Number for Mikayla Colleen Surina is 1285471607 and holds a License No. 13475 (CT). The current practice location address for Mikayla Colleen Surina is 950 Yale Ave Ste 39, Wallingford, CT 06492-1884 and can be reached out via phone at 203-265-9600.

Provider Profile Details

NPI Number
1285471607
Provider Name
Mikayla Colleen Surina
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
950 Yale Ave Ste 39, Wallingford, CT 06492-1884
Phone Number
203-265-9600
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Other Names
-- Mikayla Colleen Fayo (Former Name)
Provider Enumeration Date
July 12, 2024
Last Update Date
July 12, 2024
Certification Date
June 24, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
950 Yale Ave Ste 39
Wallingford, CT 06492-1884
Zip
06492-1884
Phone Number
203-265-9600
Wallingford, CT 06492Get directions →

Provider Business Mailing Address Details

Address
45 Turkey Hill RD
Newington, CT 06111-4424
City
Newington
State
CT
Zip
06111-4424
Phone Number
845-637-0952

License Information

License Number
13475
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 Mikayla C Surina, FNP-BC?

The NPI number of Mikayla C Surina, FNP-BC is 1285471607. It was assigned on July 12, 2024 and is currently active in the NPPES registry.

What is the specialty of Mikayla C Surina, FNP-BC?

Mikayla C Surina, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 13475.

Where does Mikayla C Surina, FNP-BC practice?

The practice location is 950 Yale Ave Ste 39, Wallingford, CT 06492-1884. The office can be reached at 203-265-9600 (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 1285471607 directly on the NPPES registry website.

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