Healthcare Provider Details

I. General information

NPI: 1023920162
Provider Name (Legal Business Name): EMILY PERROTTI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 SEYMOUR ST
HARTFORD CT
06106-5501
US

IV. Provider business mailing address

369 MAIN ST
PORTLAND CT
06480-1546
US

V. Phone/Fax

Practice location:
  • Phone: 860-972-0200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number164169
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: