NATALIE M BERARDESCA (Credential# 1382092) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
NATALIE M BERARDESCA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.006855. The credential type is advanced practice registered nurse. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 61 White Tail Ln, Wallingford, CT 06492-5351. The current status is active.
| Licensee Name | NATALIE M BERARDESCA |
| Credential ID | 1382092 |
| Credential Number | 12.006855 |
| Credential Type | Advanced Practice Registered Nurse |
| Business Address |
61 White Tail Ln Wallingford CT 06492-5351 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-11-29 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-05-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 889759 | 10.090066 | Registered Nurse | 2009-08-06 | 2020-08-01 - 2021-07-31 | ACTIVE |
| 1392185 | CSP.0064434 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-12-06 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 848032 | 70.008299 | Emergency Medical Technician | 2007-03-07 | 2007-03-07 - 2008-06-30 | INACTIVE |
| Street Address | 61 WHITE TAIL LN |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-5351 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christopher A Oksanen | 60 White Tail Ln, Yalesville, CT 06492-5351 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| Mark L Kszywanos | 63 White Tail Ln, Wallingford, CT 06492-5351 | Radiographer | 2019-09-01 ~ 2020-08-31 |
| Selvaraj Rayan | 56 White Tail Ln, Wallingford, CT 06492-5351 | Engineer-in-training | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Andrea Zola | 53 Alison Ave., Wallingford, CT 06492 | Esthetician | ~ |
| Kyungok Choi | 90 Ward St, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Giang Nguyen | 45 Country Club Lane, Wallingford, CT 06492 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2021-11-30 |
| Lc Artistry | 207 North Colony Road, Wallingford, CT 06492 | Esthetician | ~ |
| Katie Lee | 20 Angela Dr, Wallingford, CT 06492 | Paramedic | 2020-09-01 ~ 2021-08-31 |
| Vinny's Deli | 567 Center St, Wallingford, CT 06492 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Michele Ruggiero | 26 Leigus Road, Wallingford, CT 06492 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Dianna K Ball | 104 Simpson Ave, Wallingford, CT 06492 | Speech and Language Pathologist | 2020-08-01 ~ 2021-07-31 |
| Ann Marie Richardson | 20 Mohawk Drive, Wallingford, CT 06492 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Joann Hummel | 60 Deer Run Road, Wallingford, CT 06492 | Medication Administration Certification | 2018-08-21 ~ 2020-08-20 |
| Find all Licenses in zip 06492 | |||
| City | WALLINGFORD |
| Zip Code | 06492 |
| License Type | Advanced Practice Registered Nurse |
| License Type + County | Advanced Practice Registered Nurse + WALLINGFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Natalie Dixon-allicock | 450 Church St, New Britain, CT 06051-2311 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Natalie Belostotsky Aprn | 1455 Washington Blvd#237, Stamford, CT 06902 | Advanced Practice Registered Nurse | 2007-03-28 ~ 2008-05-31 |
| Kim E Cotnoir | Po Box 656, Johnson, VT 05656-0656 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Ira Mauro | 2 Ruby Rd, Marlboro, NY 12542-5519 | Advanced Practice Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Dianne E Carter | 26 Pal Dr, Shrewsbury, MA 01545 | Advanced Practice Registered Nurse | 2004-04-22 ~ 2005-05-31 |
| Lauren M Vo | 9 Cardinal Rd, Simsbury, CT 06070-1141 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Maryann B Roik | Po Box 157, Holmdel, NJ 07733-0157 | Advanced Practice Registered Nurse | 2018-06-01 ~ 2019-05-31 |
| Carol A Bova | P.o. Box 215, Princeton, MA 01541 | Advanced Practice Registered Nurse | 2009-12-01 ~ 2010-11-30 |
| Kristin Lee | 516 Kilburn Ct, Franklin, TN 37067-1371 | Advanced Practice Registered Nurse | 2016-08-01 ~ 2017-07-31 |
| Sharon K Hernly | 20 Fox Den Rd, Danbury, CT 06811 | Advanced Practice Registered Nurse | 1997-02-05 ~ 1998-03-31 |
Please comment or provide details below to improve the information on NATALIE M BERARDESCA.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).