Elysia M Cerreta-Dial, AGNP
Nurse Practitioner, Gerontology in Stratford, Connecticut
1639694441- Practice location
- 2595 Main St, Stratford, CT 06615-5855
- Phone
- 203-345-0404
- Fax
- 203-908-4110
- Last updated
- August 3, 2026
Elysia Marie Cerreta-Dial is a Nurse Practitioner, Gerontology based in Stratford, CT. Elysia Marie Cerreta-Dial practices in Stratford, CT and has the professional credentials of AGNP. The NPI Number for Elysia Marie Cerreta-Dial is 1639694441 and holds a License No. 7166 (CT). The current practice location address for Elysia Marie Cerreta-Dial is 2595 Main St, Stratford, CT 06615-5855 and can be reached out via phone at 203-345-0404 and via fax at 203-908-4110.
Provider Profile Details
- NPI Number
- 1639694441
- Provider Name
- Elysia Marie Cerreta-Dial
- Credential
- AGNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2595 Main St, Stratford, CT 06615-5855
- Phone Number
- 203-345-0404
- Fax Number
- 203-908-4110
- Primary Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 14, 2017
- Last Update Date
- August 3, 2026
- Certification Date
- August 3, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2595 Main St
Stratford, CT 06615-5855 - City
- Stratford
- State
- Connecticut
- Zip
- 06615-5855
- Phone Number
- 203-345-0404
- Fax Number
- 203-908-4110
Provider Business Mailing Address Details
- Address
- 2595 Main St
Stratford, CT 06615-5855 - City
- Stratford
- State
- CT
- Zip
- 06615-5855
- Phone Number
- 203-345-0404
- Fax Number
- 203-908-4110
License Information
- License Number (1)
- 7166
- License State (1)
- CT
- Taxonomy (1)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- License Number (2)
- 7166
- License State (2)
- CT
- Taxonomy (2)
- Nurse Practitioner, Gerontology · 363LG0600X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Elysia M Cerreta-Dial, AGNP?
The NPI number of Elysia M Cerreta-Dial, AGNP is 1639694441. It was assigned on August 14, 2017 and is currently active in the NPPES registry.
What is the specialty of Elysia M Cerreta-Dial, AGNP?
Elysia M Cerreta-Dial, AGNP is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in CT under license number 7166.
Where does Elysia M Cerreta-Dial, AGNP practice?
The practice location is 2595 Main St, Stratford, CT 06615-5855. The office can be reached at 203-345-0404 (phone) or 203-908-4110 (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 1639694441 directly on the NPPES registry website.