Mrs. Lissy D Poulose, APRN
Nurse Practitioner, Adult Health in Monroe, Connecticut
1790937670- Practice location
- 324 Elm St, Ste 202B, Monroe, CT 06468-2284
- Phone
- 203-880-5335
- Fax
- 203-907-1234
- Last updated
- January 21, 2022
Lissy Davis Poulose is a Nurse Practitioner, Adult Health based in Monroe, CT. Lissy Davis Poulose practices in Monroe, CT and has the professional credentials of APRN. The NPI Number for Lissy Davis Poulose is 1790937670 and holds a License No. 003902 (CT). The current practice location address for Lissy Davis Poulose is 324 Elm St, Ste 202B, Monroe, CT 06468-2284 and can be reached out via phone at 203-880-5335 and via fax at 203-907-1234.
Provider Profile Details
- NPI Number
- 1790937670
- Provider Name
- Lissy Davis Poulose
- Credential
- APRN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 324 Elm St, Ste 202B, Monroe, CT 06468-2284
- Phone Number
- 203-880-5335
- Fax Number
- 203-907-1234
- Primary Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 22, 2008
- Last Update Date
- January 21, 2022
- Certification Date
- January 21, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 324 Elm St
Ste 202B
Monroe, CT 06468-2284 - City
- Monroe
- State
- Connecticut
- Zip
- 06468-2284
- Phone Number
- 203-880-5335
- Fax Number
- 203-907-1234
Provider Business Mailing Address Details
- Address
- 324 Elm St
Ste 202B
Monroe, CT 06468-2284 - City
- Monroe
- State
- CT
- Zip
- 06468-2284
- Phone Number
- 203-880-5335
- Fax Number
- 203-907-1234
License Information
- License Number
- 003902
- License State
- CT
- Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Adult Health providers near Monroe, CT
View all Nurse Practitioner, Adult Health providers in Monroe →- Barbara Misiano, APRNNurse Practitioner, Adult Health · NPI 1376999011
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- Catherine ChampagneNurse Practitioner, Adult Health · NPI 1093063430
- Dorothy V Esposito, ANP-BCNurse Practitioner, Adult Health · NPI 1093154957
- Mrs. Susan E Paldino, APRNNurse Practitioner, Adult Health · NPI 1689018582
Frequently Asked Questions
What is the NPI number of Mrs. Lissy D Poulose, APRN?
The NPI number of Mrs. Lissy D Poulose, APRN is 1790937670. It was assigned on October 22, 2008 and is currently active in the NPPES registry.
What is the specialty of Mrs. Lissy D Poulose, APRN?
Mrs. Lissy D Poulose, APRN is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in CT under license number 003902.
Where does Mrs. Lissy D Poulose, APRN practice?
The practice location is 324 Elm St, Ste 202B, Monroe, CT 06468-2284. The office can be reached at 203-880-5335 (phone) or 203-907-1234 (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 1790937670 directly on the NPPES registry website.