Healthcare Provider Details

I. General information

NPI: 1699304378
Provider Name (Legal Business Name): COURTNEY LOPIANO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2020
Last Update Date: 04/05/2020
Certification Date: 04/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

282 WASHINGTON ST
HARTFORD CT
06106-3322
US

IV. Provider business mailing address

21 BUCK HILL RD
WESTON CT
06883-1433
US

V. Phone/Fax

Practice location:
  • Phone: 203-505-8077
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License Number150996
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: