Individual
ALYSON NICOLOSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
80 PHOENIX AVE, SUITE 201, WATERBURY, CT 06702-1418
(203) 756-8021
(203) 596-9038
Mailing address
80 PHOENIX AVE, SUITE 201, WATERBURY, CT 06702-1418
(203) 756-8021
(203) 596-9038
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
005452
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008046690
—
CT
01
—
1225461221
ANTHEM BCBS
CT
01
—
223160873
HEALTHYCT
CT
Enumeration date
08/13/2013
Last updated
12/23/2015
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