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NPI Code Detail

MEDICARE: ELIZABETH A FABRIZI APRN

MEDICARE:   ELIZABETH A FABRIZI  APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LW0102XWomen's Health Nurse Practitioner001168CT

General Provider Information

NPI Number : 1275636292
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH A FABRIZI APRN
Provider Business Mailing Address
First Line : 345 WHITNEY AVE
Second Line :
City : NEW HAVEN
State : CT
Zip : 06511-2348
Country : US
Telephone Number : 203-752-2856
Fax Number : 203-752-8785
Provider Business Practice Location Address
First Line : 263 MAIN ST
Second Line :
City : OLD SAYBROOK
State : CT
Zip : 06475-2326
Country : US
Telephone Number : 860-388-4459
Fax Number : 860-395-0190
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2006
Last Update Date : 03/29/2012

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Directions to “ ELIZABETH A FABRIZI APRN” Practice Location

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