Individual
MELANIE DULCE RICAFORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
711 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3060
(860) 242-8756
(860) 242-3052
Mailing address
711 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3060
(860) 242-8756
(860) 242-3052
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
00530
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008043707
—
CT
01
—
075726
CONNECTICARE
CT
01
—
D400085911
MEDICARE
CT
Enumeration date
02/22/2013
Last updated
05/07/2020
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