ANDREA M NIZIOLEK PA
Physician Assistant


Address: 56 Kelsey Springs Dr, Madison, CT 06443-2478

ANDREA M NIZIOLEK PA (Credential# 743501) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.

Business Overview

ANDREA M NIZIOLEK PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001752. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 56 Kelsey Springs Dr, Madison, CT 06443-2478. The current status is active.

Basic Information

Licensee Name ANDREA M NIZIOLEK PA
Credential ID 743501
Credential Number 23.001752
Credential Type Physician Assistant
Business Address 56 Kelsey Springs Dr
Madison
CT 06443-2478
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2006-01-26
Effective Date 2020-04-01
Expiration Date 2021-03-31
Refresh Date 2020-02-25

Other licenses

ID Credential Code Credential Type Issue Term Status
431696 CSP.0038914 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-03-06 2019-03-01 - 2021-02-28 ACTIVE
840651 70.000916 Emergency Medical Technician 2000-10-10 2002-06-28 - 2004-06-30 INACTIVE

Office Location

Street Address 56 KELSEY SPRINGS DR
City MADISON
State CT
Zip Code 06443-2478

Licenses in the same zip code

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Caitlyn Beverly Darosa Lyle Dr, Madison, CT 06443 Registered Nurse ~
Roberts Food Center · Rjf Inc Dba 514 Old Toll Rd, Madison, CT 06443 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Karen D Leonetti · Rapuano 553 Green Hill Rd, Madison, CT 06443 Radiographer 2020-09-01 ~ 2021-08-31
Pasquale Sabatasso 122 River Edge Farms Road, Madison, CT 06443 Barber 2020-07-01 ~ 2022-06-30
Madision Health Foods · Jum Ok Coker 59 Wall St, Madison, CT 06443 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Madison Community Services Inc. P.o. Box 148, Madison, CT 06443 Public Charity 2020-12-01 ~ 2021-11-30
Shaina Michele Levinson 52 East Wharf Rd, Madison, CT 06443 Master's Level Social Worker ~
Stephen G Lynch · Lynch, Stephen Gerard 12 Milestone Lane, Madison, CT 06443 Real Estate Salesperson 2020-06-01 ~ 2021-05-31
David F Courtney Md 38 Old Duck Hole Road, Madison, CT 06443 Physician/surgeon 2020-07-01 ~ 2021-06-30
Sydni E Marmor 560 Opening Hill Road, Madison, CT 06443 Professional Counselor 2020-07-01 ~ 2021-06-30
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Competitor

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City MADISON
Zip Code 06443
License Type Physician Assistant
License Type + County Physician Assistant + MADISON

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Andrea M Powell 552 West 165th St., New York, NY 10032 Physician Assistant 2020-07-01 ~ 2021-06-30
Andrea Lauren Arnone 1 Harvard Ave, Yonkers, NY 10710 Physician Assistant 2018-11-26 ~ 2019-06-30
Andrea H Lynch 164 Surrey Lane, Fairfield, CT 06824 Physician Assistant 2020-07-01 ~ 2021-06-30
Andrea Lynne Grammatico 10 Stoney Brook Rd, Wallingford, CT 06492-2759 Physician Assistant 2020-05-01 ~ 2021-04-30
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Dataset Information

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).

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