MEDICARE: LARISSA A WALTOWER RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker	0014133740	CT

General Provider Information

NPI Number	:	1023952561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LARISSA A WALTOWER RN

Provider Business Mailing Address
First Line	:	41 MECHANIC ST STE 1
Second Line	:
City	:	WINDSOR
State	:	CT
Zip	:	06095-2554
Country	:	US
Telephone Number	:	860-854-4608
Fax Number	:

Provider Business Practice Location Address
First Line	:	41 MECHANIC ST STE 1
Second Line	:
City	:	WINDSOR
State	:	CT
Zip	:	06095-2554
Country	:	US
Telephone Number	:	860-854-4608
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2026
Last Update Date	:	04/15/2026

Similar Medicare Providers

1710596747 — DAVID ERNST
Practice Location Address:

41 MECHANIC ST STE 2
WINDSOR, CT
06095-2554

Practice Phone: 860-920-4420
Practice Fax:

1528957008 — ELINOR LENHART KOLBIER LMSW, LCSW
Practice Location Address:

41 MECHANIC ST STE 2
WINDSOR, CT
06095-2554

Practice Phone: 959-205-9235
Practice Fax:

1497645600 — MYUNGGYO KIM LPCA
Practice Location Address:

41 MECHANIC ST STE 2
WINDSOR, CT
06095-2554

Practice Phone: 860-920-4420
Practice Fax:

1063356616 — ALEXANDRA CHUDZ
Practice Location Address:

360 BLOOMFIELD AVE STE 301
WINDSOR, CT
06095-2700

Practice Phone: 860-687-1127
Practice Fax:

1740124155 — ALJENAE GREENWOOOD
Practice Location Address:

360 BLOOMFIELD AVE STE 301
WINDSOR, CT
06095-2700

Practice Phone: 877-418-2978
Practice Fax: 866-500-2186

1538925888 — NEXT STEP UP CORP
Practice Location Address:

360 BLOOMFIELD AVE
WINDSOR, CT
06095-2700

Practice Phone: 719-517-6905
Practice Fax: 585-502-1157

Directions to “ LARISSA A WALTOWER RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.