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Melissa A Fazzolari, APRN
Gerontology Nurse Practitioner in Wallingford, Connecticut
NPI 1477041564

Melissa A Fazzolari is a Gerontology Nurse Practitioner based in Rocky Hill, CT and is specialized in Gerontology. Melissa A Fazzolari practices in Wallingford, CT and has the professional credentials of APRN. The NPI Number for Melissa A Fazzolari is 1477041564 and holds a License No. 7770 (Connecticut).

The current practice location address for Melissa A Fazzolari is 850 N Main Street Ext Ste B, Wallingford, CT and can be reached out via phone at 203-886-0036 and via fax at 203-886-0072. You can also correspond with Melissa A Fazzolari through the mailing address at 30 WATERCHASE DR, ROCKY HILL, CT - 06067-2110 (mailing address contact number: 608-257-4131).

Location: 850 N Main Street Ext Ste B, Wallingford, CT, 06067-2110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477041564
Provider Name
Melissa A Fazzolari
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
850 N Main Street Ext Ste B, Wallingford, CT, 06067-2110
Phone Number
203-886-0036
Fax Number
203-886-0072
Provider Enumeration Date
04/25/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008082360 05 CT
institution
Provider Business Practice Location Address Details
Address
850 N Main Street Ext Ste B
City
Wallingford
State
Connecticut
Zip
06492
Phone Number
203-886-0036
Fax Number
203-886-0072
person
Provider Business Mailing Address Details
Address
850 N Main Street Ext Ste B
City
Wallingford
State
Connecticut
Zip
06492
Phone Number
203-886-0036
Fax Number
203-886-0072
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
7770 (Connecticut)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
7770 (Connecticut)
Definition
Definition to come...
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