Individual
MRS. CARLA M ROSATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
15 NANCY MAE AVE, PROSPECT, CT 06712-1720
(203) 528-7652
Mailing address
15 NANCY MAE AVE, PROSPECT, CT 06712-1720
(203) 528-7652
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
003524
CT
363LF0000X
Family Nurse Practitioner
RN1947012
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003524
STATE LICENSE
CT
05
—
004235900
—
CT
Enumeration date
09/20/2006
Last updated
03/07/2023
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