Healthcare Provider Details

I. General information

NPI: 1932842630
Provider Name (Legal Business Name): BRYNNA BASCETTA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2022
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 ROBERTS ST
TORRINGTON CT
06790-4744
US

IV. Provider business mailing address

45 BIRDSVIEW AVE
NEW HARTFORD CT
06057-3306
US

V. Phone/Fax

Practice location:
  • Phone: 860-930-6716
  • Fax:
Mailing address:
  • Phone: 860-930-6716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number10526
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number10526
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: