Healthcare Provider Details

I. General information

NPI: 1235784554
Provider Name (Legal Business Name): GIOVANNA CRAVEIRO-SETARO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2019
Last Update Date: 04/13/2021
Certification Date: 03/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 ASYLUM AVE
HARTFORD CT
06105-1770
US

IV. Provider business mailing address

47 EDGERTON RD
WALLINGFORD CT
06492-5311
US

V. Phone/Fax

Practice location:
  • Phone: 860-714-4000
  • Fax:
Mailing address:
  • Phone: 203-893-2879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License Number12.008369
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License NumberRN2347577
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number8369
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: