Active NPIIndividual provider

Mrs. Michelle A Mattiaccio, APRN BC

Nurse Practitioner, Adult Health in Waterbury, Connecticut

NPI Number1386710176
Practice location
88 Grandview Ave, Waterbury, CT 06708-2509
Fax
203-573-6575
Last updated
March 25, 2014

Michelle A Mattiaccio is a Nurse Practitioner, Adult Health based in Waterbury, CT. Michelle A Mattiaccio practices in Waterbury, CT and has the professional credentials of APRN BC. The NPI Number for Michelle A Mattiaccio is 1386710176 and holds a License No. 003538 (CT). The current practice location address for Michelle A Mattiaccio is 88 Grandview Ave, Waterbury, CT 06708-2509 and can be reached out via phone at 203-573-7500 and via fax at 203-573-6575.

Provider Profile Details

NPI Number
1386710176
Provider Name
Michelle A Mattiaccio
Credential
APRN BC
Provider Entity Type
Individual
Gender
Female
Address
88 Grandview Ave, Waterbury, CT 06708-2509
Phone Number
203-573-7500
Fax Number
203-573-6575
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Provider Enumeration Date
November 27, 2006
Last Update Date
March 25, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
88 Grandview Ave
Waterbury, CT 06708-2509
Zip
06708-2509
Phone Number
203-573-7500
Fax Number
203-573-6575
Waterbury, CT 06708Get directions →

Provider Business Mailing Address Details

Address
4 Midland RD
Waterbury, CT 06705-3412
City
Waterbury
State
CT
Zip
06705-3412
Phone Number
203-755-8874
Fax Number
203-597-9570

License Information

License Number
003538
License State
CT
Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X · 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 Mrs. Michelle A Mattiaccio, APRN BC?

The NPI number of Mrs. Michelle A Mattiaccio, APRN BC is 1386710176. It was assigned on November 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Michelle A Mattiaccio, APRN BC?

Mrs. Michelle A Mattiaccio, APRN BC is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in CT under license number 003538.

Where does Mrs. Michelle A Mattiaccio, APRN BC practice?

The practice location is 88 Grandview Ave, Waterbury, CT 06708-2509. The office can be reached at 203-573-7500 (phone) or 203-573-6575 (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 1386710176 directly on the NPPES registry website.

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