Healthcare Provider Details

I. General information

NPI: 1215049770
Provider Name (Legal Business Name): EMILY F FLORIAN-TYNAN CNS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY FLORIAN-TYNAN CNS APRN

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 MERIDEN WTBY TPKE STE 2
MILLDALE CT
06467-6507
US

IV. Provider business mailing address

119 SUMMIT ST
PLANTSVILLE CT
06479-1124
US

V. Phone/Fax

Practice location:
  • Phone: 860-426-2412
  • Fax: 860-426-2412
Mailing address:
  • Phone: 860-426-2412
  • Fax: 860-426-2412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number001041
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: