Individual
MRS. MICHELLE A MATTIACCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN BC
Contact information
Practice address
88 GRANDVIEW AVE, WATERBURY, CT 06708-2509
(203) 573-7500
(203) 573-6575
Mailing address
4 MIDLAND RD, WATERBURY, CT 06705-3412
(203) 755-8874
(203) 597-9570
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
003538
CT
Other
Enumeration date
11/27/2006
Last updated
03/25/2014
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