Healthcare Provider Details

I. General information

NPI: 1053151225
Provider Name (Legal Business Name): LAURA FERRETTI APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2024
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

519 HERITAGE RD STE 2A5
SOUTHBURY CT
06488-6694
US

IV. Provider business mailing address

70 DEER HILL LN
COVENTRY CT
06238-1235
US

V. Phone/Fax

Practice location:
  • Phone: 203-568-5923
  • Fax:
Mailing address:
  • Phone: 860-930-0131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number12017182
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: