Healthcare Provider Details

I. General information

NPI: 1508375080
Provider Name (Legal Business Name): CHRISTINA AUDET SOLOMITO FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS CHRISTINA MARIE AUDET

II. Dates (important events)

Enumeration Date: 09/27/2017
Last Update Date: 09/20/2023
Certification Date: 09/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MAIN ST
UNIONVILLE CT
06085-1131
US

IV. Provider business mailing address

101 MAIN ST
UNIONVILLE CT
06085-1131
US

V. Phone/Fax

Practice location:
  • Phone: 860-673-6124
  • Fax:
Mailing address:
  • Phone: 860-673-6124
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number7245
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number7245
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: