Healthcare Provider Details

I. General information

NPI: 1295600898
Provider Name (Legal Business Name): MELODY LEN LOPREIATO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3514 MAIN ST
COVENTRY CT
06238-1551
US

IV. Provider business mailing address

3514 MAIN ST
COVENTRY CT
06238-1551
US

V. Phone/Fax

Practice location:
  • Phone: 866-389-2727
  • Fax:
Mailing address:
  • Phone: 866-389-2727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number15450
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: