Healthcare Provider Details

I. General information

NPI: 1780501486
Provider Name (Legal Business Name): ARICELY VEGA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 SEYMOUR ST
HARTFORD CT
06102-8000
US

IV. Provider business mailing address

80 SEYMOUR ST
HARTFORD CT
06102-8000
US

V. Phone/Fax

Practice location:
  • Phone: 860-573-9030
  • Fax: 860-972-7171
Mailing address:
  • Phone: 860-573-9030
  • Fax: 860-972-7171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberL-322270
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: