Healthcare Provider Details

I. General information

NPI: 1316835176
Provider Name (Legal Business Name): MARIA LIUZZI FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2025
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

528 WASHINGTON AVE STE 2
NORTH HAVEN CT
06473-1332
US

IV. Provider business mailing address

447 WASHINGTON AVE APT 425
NORTH HAVEN CT
06473-1347
US

V. Phone/Fax

Practice location:
  • Phone: 475-254-9435
  • Fax:
Mailing address:
  • Phone: 203-410-6229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2025025564
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2025025564
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: