Healthcare Provider Details

I. General information

NPI: 1194187070
Provider Name (Legal Business Name): MELISSA FRANCIS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA GALLAGHER ARNP

II. Dates (important events)

Enumeration Date: 03/22/2016
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 QUAKER FARMS RD STE 1
SOUTHBURY CT
06488-2732
US

IV. Provider business mailing address

67 MAPLE AVE
DERBY CT
06418-1328
US

V. Phone/Fax

Practice location:
  • Phone: 203-262-9300
  • Fax: 203-264-2696
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number9518
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: