Healthcare Provider Details

I. General information

NPI: 1043807027
Provider Name (Legal Business Name): ALESSANDRA CORTINA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/24/2020
Last Update Date: 10/08/2024
Certification Date: 10/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

199 CHERRY ST
MILFORD CT
06460-3501
US

IV. Provider business mailing address

83 SAWMILL RD
MILFORD CT
06461-2263
US

V. Phone/Fax

Practice location:
  • Phone: 203-874-0248
  • Fax:
Mailing address:
  • Phone: 203-814-6175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number13587
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number143418
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: