Individual
JESSICA RICCIARDELLI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
300 MAIN ST, EAST HAVEN, CT 06512-2904
(203) 469-8882
(203) 467-9973
Mailing address
300 MAIN ST, EAST HAVEN, CT 06512-2904
(203) 469-8882
(203) 467-9973
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
001673
CT
Other
Enumeration date
10/17/2005
Last updated
07/08/2007
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