Healthcare Provider Details

I. General information

NPI: 1902723919
Provider Name (Legal Business Name): ALICIA PARE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

143 HAZARD AVE
ENFIELD CT
06082-4521
US

IV. Provider business mailing address

160 NOD RD
WEATOGUE CT
06089-9405
US

V. Phone/Fax

Practice location:
  • Phone: 888-711-5747
  • Fax: 203-504-7700
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number17738
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: