Individual
ALEXANDRIA ROSE VISCOSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
85 BARNES RD STE 202, WALLINGFORD, CT 06492-1832
(203) 309-0070
(203) 309-0071
Mailing address
85 BARNES RD STE 202, WALLINGFORD, CT 06492-1832
(203) 309-0070
(203) 309-0071
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10558
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10558
STATE LICENSE
CT
Enumeration date
04/22/2022
Last updated
04/22/2022
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