MARY PETRUZZI (NPI# 1922048073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922048073 |
| Entity Type | Individual |
| Full Name | MARY PETRUZZI |
| Credential | APRN |
| Practice Address |
323 Cromwell Ave Rocky Hill CT 06067-1801 |
| Practice Telephone | 2036050804 |
| Mailing Telephone | 2036050804 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2013-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
002938 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN2269965 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F333230-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356469167 | Mary P Petruzzi | Pharmacist | 78 Elizabeth St, South Windsor, CT 06074-3411 | 2007-03-27 |
| 1639252075 | Mary Jane Petruzzi | Pediatrics | 219 Bryant St, Buffalo, NY 14222-2006 | 2006-10-21 |
| Street Address |
323 CROMWELL AVE |
| City | ROCKY HILL |
| State | CT |
| Zip Code | 06067-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144725482 | Jessica M Champagne | Nurse Practitioner | 323 Cromwell Ave, Rocky Hill, CT 06067-1801 | 2018-03-28 |
| 1336689181 | Lavinia Neluta Sambat | Nurse Practitioner | 323 Cromwell Ave, Rocky Hill, CT 06067-1801 | 2017-02-27 |
| 1619339132 | Shannon Kelley | Pharmacist | 323 Cromwell Ave, Rocky Hill, CT 06067-1801 | 2016-03-23 |
| 1396148656 | Janice Kolesar | Nurse Practitioner | 323 Cromwell Ave, Rocky Hill, CT 06067-1801 | 2014-10-01 |
| 1841609690 | Brianna Victoria Mcnally | Nurse Practitioner | 323 Cromwell Ave, Rocky Hill, CT 06067-1801 | 2014-08-06 |
| 1306252291 | Jessica Valsamis | Nurse Practitioner | 323 Cromwell Ave, Rocky Hill, CT 06067-1801 | 2014-07-11 |
| 1760810972 | Minute Clinic | Nurse Practitioner | 323 Cromwell Ave, Rocky Hill, CT 06067-1801 | 2013-10-24 |
| 1396089777 | Rebecca Lynn Kruse | Nurse Practitioner | 323 Cromwell Ave, Rocky Hill, CT 06067-1801 | 2012-11-25 |
| 1598011611 | Candace I Lumia | Nurse Practitioner | 323 Cromwell Ave, Rocky Hill, CT 06067-1801 | 2012-07-26 |
| 1144505678 | Sharon Beth Farah | Nurse Practitioner | 323 Cromwell Ave, Rocky Hill, CT 06067-1801 | 2011-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164924643 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 2162 Silas Dean Highway, Rocky Hill, CT 06067 | 2018-03-01 |
| 1285049304 | Edmund Swan | Optometrist | 38 Town Line Rd, Rocky Hill, CT 06067 | 2014-06-26 |
| 1962814145 | Touchpoints Homecare, LLC | Home Health | 1838 Silas Deane Hwy, Rocky Hill, CT 06067 | 2014-05-22 |
| 1649696014 | Janet Kelly | Speech-Language Pathologist | 135 Old Main Street, Rocky Hill, CT 06067 | 2014-03-10 |
| 1194147256 | George Ginsberg | Dentist | 35 Cold Spring Rd, Suite 325, Rocky Hill, CT 06067 | 2014-01-09 |
| 1679901953 | Masters In Home Care, LLC | Home Health | 40 Cold Spring Rd, Rocky Hill, CT 06067 | 2013-10-23 |
| 1154661783 | Kelly Marie Carlson | Pharmacy Technician | 30 Cold Springs Road, Rockyhill, CT 06067 | 2013-02-19 |
| 1851631683 | Tia Jean Williams | Physician Assistant | 1111 Cromwell Ave # 404, Rocky Hill, CT 06067 | 2013-02-14 |
| 1700125804 | Marisol Rodriguez | Reflexologist | 1800 Silas Deane Highway, Suite 150, Rocky Hill, CT 06067 | 2013-02-08 |
| 1790070530 | Kelly A Cronin | Nurse Practitioner | 500 Enterprise Drive, Suite 4a, Rocky Hill, CT 06067 | 2011-06-09 |
| Find all providers in zip 06067 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417501115 | Chiquana Allman | Nurse Practitioner | 856 Cromwell Ave, Rocky Hill, CT 06067-3012 | 2019-07-31 |
| 1659825974 | Aida Koni | Nurse Practitioner | 53 New Britain Ave Ste 7, Rocky Hill, CT 06067-1175 | 2016-08-04 |
| 1043213788 | John M. Lujanac | Nurse Practitioner | 400 Capital Blvd, Rocky Hill, CT 06067-3576 | 2005-05-25 |
| 1578179156 | Guilherme Vieira | Nurse Practitioner | 396 Cromwell Ave, Rocky Hill, CT 06067-1828 | 2020-09-19 |
| 1598225609 | Reshna Thapa | Nurse Practitioner | 400 Capital Blvd, Rocky Hill, CT 06067-3576 | 2019-03-23 |
| 1225519077 | Afua Asemnor | Nurse Practitioner | 400 Capital Blvd, Rocky Hill, CT 06067-3576 | 2018-08-28 |
| 1336625607 | Morgan Caffrey | Nurse Practitioner | 400 Capital Blvd, Rocky Hill, CT 06067-3576 | 2018-07-19 |
| 1982192209 | Tarannum Malwat | Nurse Practitioner | 396 Cromwell Ave, Rocky Hill, CT 06067 | 2018-04-23 |
| 1144725482 | Jessica M Champagne | Nurse Practitioner | 323 Cromwell Ave, Rocky Hill, CT 06067-1801 | 2018-03-28 |
| 1962902536 | Jody Biancamano Lynch | Nurse Practitioner | 400 Capital Blvd, Rocky Hill, CT 06067-3576 | 2018-02-20 |
| Find all providers in ROCKY HILL | ||||
| City | ROCKY HILL |
| Zip Code | 06067 |
Please comment or provide details below to improve the information on MARY PETRUZZI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.