Healthcare Provider Details

I. General information

NPI: 1619335668
Provider Name (Legal Business Name): TOCCARA L MULARSKI APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2016
Last Update Date: 02/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 ELM ST SUITE 202B
MONROE CT
06468-2280
US

IV. Provider business mailing address

56 MAPLE AVE W
HIGGANUM CT
06441-4220
US

V. Phone/Fax

Practice location:
  • Phone: 203-880-5335
  • Fax:
Mailing address:
  • Phone: 413-244-9645
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number6438
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: