Healthcare Provider Details

I. General information

NPI: 1629996095
Provider Name (Legal Business Name): VALERIA SARMIENTO PAVA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VALERIA SARMIENTO

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 5TH ST
STAMFORD CT
06905-5012
US

IV. Provider business mailing address

19 GRAND ST
MIDDLETOWN CT
06457-2705
US

V. Phone/Fax

Practice location:
  • Phone: 203-644-6604
  • Fax: 203-323-8140
Mailing address:
  • Phone: 860-347-6971
  • Fax: 860-343-7379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number18116
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: