Healthcare Provider Details

I. General information

NPI: 1679622898
Provider Name (Legal Business Name): DENISE E ABBATE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DENISE E FITZPATRICK APRN

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 03/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 TOWER AVE SUITE 301
HARTFORD CT
06112-1273
US

IV. Provider business mailing address

675 TOWER AVE SUITE 301
HARTFORD CT
06112-1273
US

V. Phone/Fax

Practice location:
  • Phone: 860-714-2750
  • Fax: 860-714-8591
Mailing address:
  • Phone: 860-714-2747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number002460
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code364SP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
License Number002460
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: