Individual
MS. LIZA ALEXIS PAOLINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
182 HIGH HILL RD, WALLINGFORD, CT 06492-1906
(203) 366-4242
(203) 366-4242
Mailing address
182 HIGH HILL RD, WALLINGFORD, CT 06492-1906
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
E59787
CT
363LF0000X
Family Nurse Practitioner
Primary
003100
CT
363LP2300X
Primary Care Nurse Practitioner
003100
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004236164
MEDICAID (PAOLINI)
CT
01
—
500002176
MEDICARE (PAOLINI)
CT
Enumeration date
11/23/2005
Last updated
07/22/2015
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