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Individual

ELYSIA MARIE CERRETA-DIAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGNP

Contact information

Practice address
2595 MAIN ST, STRATFORD, CT 06615-5855
(203) 345-0404
(203) 908-4110
Mailing address
2595 MAIN ST, STRATFORD, CT 06615-5855
(203) 345-0404
(203) 908-4110

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
7166
CT
363LG0600X
Gerontology Nurse Practitioner
Primary
7166
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
7166
CT

Other

Enumeration date
08/14/2017
Last updated
04/23/2026
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