Individual
MARISA A TISCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 804-2860
Mailing address
169 COLEMAN RD, MIDDLETOWN, CT 06457-5086
(203) 804-2860
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11043
CT
Other
Enumeration date
12/05/2022
Last updated
03/11/2026
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