Individual
DR. ELIZABETH MB VISONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN
Contact information
Practice address
1060 DAY HILL RD STE 203, WINDSOR, CT 06095-5720
(860) 696-2450
(860) 696-2460
Mailing address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
002572
CT
363LF0000X
Family Nurse Practitioner
Primary
002572
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002572
STATE APRN LICENSE
CT
01
—
31440
ST CONTROLLED SUBSTANCE #
CT
01
—
E43356
STATE RN LICENSE NUMBER
CT
Enumeration date
07/06/2005
Last updated
03/07/2023
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