Healthcare Provider Details

I. General information

NPI: 1508290388
Provider Name (Legal Business Name): ERIN L MORONI APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN L RADOCCHIA APRN

II. Dates (important events)

Enumeration Date: 08/28/2013
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 MAIN ST STE 19
MONROE CT
06468-2837
US

IV. Provider business mailing address

268 POST RD STE 200
FAIRFIELD CT
06824-6220
US

V. Phone/Fax

Practice location:
  • Phone: 203-400-3491
  • Fax: 866-313-0963
Mailing address:
  • Phone: 860-926-2341
  • Fax: 866-313-0963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5490
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: