Healthcare Provider Details

I. General information

NPI: 1245777614
Provider Name (Legal Business Name): ALLISON ORCHARDO SCHILLING NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLISON ANN ORCHARDO NP

II. Dates (important events)

Enumeration Date: 01/24/2017
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

282 WASHINGTON ST
HARTFORD CT
06106-3322
US

V. Phone/Fax

Practice location:
  • Phone: 860-545-9520
  • Fax:
Mailing address:
  • Phone: 860-545-9520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number382670
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number8545
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number164715
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: