Healthcare Provider Details

I. General information

NPI: 1962874214
Provider Name (Legal Business Name): MARIA TAPIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARIA ARCARI APRN

II. Dates (important events)

Enumeration Date: 10/27/2015
Last Update Date: 07/11/2022
Certification Date: 07/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 MAIN ST
NEW BRITAIN CT
06051-4204
US

IV. Provider business mailing address

20 JUNIPER RD
MIDDLEBURY CT
06762-1721
US

V. Phone/Fax

Practice location:
  • Phone: 860-224-8192
  • Fax:
Mailing address:
  • Phone: 203-910-1586
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number10415
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: