Healthcare Provider Details

I. General information

NPI: 1497004402
Provider Name (Legal Business Name): EMILY JANE TUOZZO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2012
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 S MAIN ST STE 201
CHESHIRE CT
06410-3112
US

IV. Provider business mailing address

1290 SILAS DEANE HWY
WETHERSFIELD CT
06109-4337
US

V. Phone/Fax

Practice location:
  • Phone: 203-271-3296
  • Fax:
Mailing address:
  • Phone: 203-271-3296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number5119
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number005119
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: