Individual
CARISSA ANN TUFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
21 WATERVILLE RD, HARVEST HEALTHCARE, AVON, CT 06001-2097
(860) 678-9755
(860) 284-6804
Mailing address
21 WATERVILLE RD, HARVEST HEALTHCARE, AVON, CT 06001-2097
(860) 678-9755
(860) 284-6804
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
079510
CT
363L00000X
Nurse Practitioner
Primary
003970
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
003970
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003970
APRN LICENSE
CT
01
—
079510
RN LICENSE
CT
Enumeration date
08/20/2008
Last updated
10/24/2012
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