Healthcare Provider Details

I. General information

NPI: 1427168111
Provider Name (Legal Business Name): RUTH SPOSILI APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 NORMAN CIR
MILFORD CT
06460-4234
US

IV. Provider business mailing address

11 NORMAN CIR
MILFORD CT
06460-4234
US

V. Phone/Fax

Practice location:
  • Phone: 203-783-1192
  • Fax: 203-876-8466
Mailing address:
  • Phone: 203-783-1192
  • Fax: 203-876-8466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number002797
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number002797
License Number StateCT
# 3
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number002797
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: