Ashley Antonucci, DNP- FNP
Nurse Practitioner, Family in New Haven, CT. Individual provider (NPI-1).
NPI number1003463159
StatusActive
Last updated in NPPESApr 6, 2020
Details
- NPI
- 1003463159
- Entity type
- Individual (NPI-1)
- Name
- Ashley Antonucci
- Credential
- DNP- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2019
- Certification date
- Apr 6, 2020
- Last updated
- Apr 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 8420 | CT | Yes |
Practice location
1 Long Wharf DrNew Haven, CT 06511-5991
Phone 203-688-8800
Mailing address
2660 Main StSte 219
Bridgeport, CT 06606-5301
Phone 203-231-9843
Other practice locations
20 York St
New Haven, CT 06510-3220
New Haven, CT 06510-3220
Phone 203-688-4242
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