Healthcare Provider Details

I. General information

NPI: 1306456116
Provider Name (Legal Business Name): CHRISTINE ZARRELLA CIPRIANI AGPCNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2020
Last Update Date: 02/21/2024
Certification Date: 02/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 ROBBINS ST
WATERBURY CT
06708-2600
US

IV. Provider business mailing address

70 TREBLE RD
BRISTOL CT
06010-2326
US

V. Phone/Fax

Practice location:
  • Phone: 860-573-6000
  • Fax:
Mailing address:
  • Phone: 860-307-9579
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number98702
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number9160
License Number StateCT
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number9160
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: