Healthcare Provider Details

I. General information

NPI: 1366778268
Provider Name (Legal Business Name): ERIN PUGLIESE VLAHAKIS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN MARIE PUGLIESE APRN

II. Dates (important events)

Enumeration Date: 10/27/2009
Last Update Date: 09/23/2022
Certification Date: 09/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

282 WASHINGTON ST
HARTFORD CT
06106-3322
US

IV. Provider business mailing address

62 WHITMAN AVE
WEST HARTFORD CT
06107-1750
US

V. Phone/Fax

Practice location:
  • Phone: 860-545-9720
  • Fax:
Mailing address:
  • Phone: 860-916-5845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number004205
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: