Alisa B Bray, APRN
Nurse Practitioner, Family in Willimantic, Connecticut
1720620065- Practice location
- 112 Mansfield Ave, Willimantic, CT 06226-2045
- Phone
- 860-456-9116
- Fax
- —
- Last updated
- December 11, 2019
Alisa B Bray is a Nurse Practitioner, Family based in Willimantic, CT. Alisa B Bray practices in Willimantic, CT and has the professional credentials of APRN. The NPI Number for Alisa B Bray is 1720620065 and holds a License No. 8551 (CT). The current practice location address for Alisa B Bray is 112 Mansfield Ave, Willimantic, CT 06226-2045 and can be reached out via phone at 860-456-9116.
Provider Profile Details
- NPI Number
- 1720620065
- Provider Name
- Alisa B Bray
- Credential
- APRN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 112 Mansfield Ave, Willimantic, CT 06226-2045
- Phone Number
- 860-456-9116
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 8, 2019
- Last Update Date
- December 11, 2019
- Certification Date
- December 11, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 112 Mansfield Ave
Willimantic, CT 06226-2045 - City
- Willimantic
- State
- Connecticut
- Zip
- 06226-2045
- Phone Number
- 860-456-9116
Provider Business Mailing Address Details
- Address
- 257 Back RD
Windham, CT 06280-1207 - City
- Windham
- State
- CT
- Zip
- 06280-1207
- Phone Number
- 860-933-0254
- Fax Number
- 860-933-0254
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 8551
- License State (2)
- CT
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Family providers near Willimantic, CT
View all Nurse Practitioner, Family providers in Willimantic →- Danielle Digeronimo, APRNNurse Practitioner, Family · NPI 1598070989
- Holly A Desmarais, NP-CNurse Practitioner, Family · NPI 1235533415
- Jamie E CharronNurse Practitioner, Family · NPI 1720569379
- Mrs. Susie Bernado, NPNurse Practitioner, Family · NPI 1295244135
- Naida E Arcenas, APRNNurse Practitioner, Family · NPI 1861456774
- Nicole Dukett, APRNNurse Practitioner, Family · NPI 1457610800
Frequently Asked Questions
What is the NPI number of Alisa B Bray, APRN?
The NPI number of Alisa B Bray, APRN is 1720620065. It was assigned on October 8, 2019 and is currently active in the NPPES registry.
What is the specialty of Alisa B Bray, APRN?
Alisa B Bray, APRN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 8551.
Where does Alisa B Bray, APRN practice?
The practice location is 112 Mansfield Ave, Willimantic, CT 06226-2045. The office can be reached at 860-456-9116 (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 1720620065 directly on the NPPES registry website.