NPI 1003463159 · live from the CMS NPI Registry
Ashley Antonucci, DNP- FNP
Nurse Practitioner, Family in New Haven, CT. National Provider Identifier 1003463159, active.
NPI record
| NPI | 1003463159 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 1 Long Wharf Dr, New Haven, CT 06511 |
| Practice phone | 203-688-8800 |
| Mailing address | 2660 Main St, Ste 219, Bridgeport, CT 06606 |
| Enumerated | August 22, 2019 |
| Last updated | April 6, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 8420 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.