Healthcare Provider Details

I. General information

NPI: 1588537948
Provider Name (Legal Business Name): ANTONIA MELISSA ANDERSON CURTIS MSN, APRN, CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANTONIA MELISSA ANDERSON MSN, APRN, CPNP-PC

II. Dates (important events)

Enumeration Date: 09/23/2025
Last Update Date: 05/24/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

152 KIMBERLY RD
EAST GRANBY CT
06026-9544
US

IV. Provider business mailing address

152 KIMBERLY RD
EAST GRANBY CT
06026-9544
US

V. Phone/Fax

Practice location:
  • Phone: 860-899-4651
  • Fax:
Mailing address:
  • Phone: 919-684-3786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number12.017391
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: