MEDICARE: MS. HALEY ROSE ALBANO 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
1	363LF0000X	Family Nurse Practitioner	15223	CT

General Provider Information

NPI Number	:	1295610913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HALEY ROSE ALBANO APRN

Provider Business Mailing Address
First Line	:	9 ALISON LN
Second Line	:
City	:	WETHERSFIELD
State	:	CT
Zip	:	06109-3823
Country	:	US
Telephone Number	:	860-805-0646
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 NORTHWESTERN DR STE 101
Second Line	:
City	:	BLOOMFIELD
State	:	CT
Zip	:	06002-3416
Country	:	US
Telephone Number	:	860-580-5656
Fax Number	:	860-580-5799

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2025
Last Update Date	:	08/11/2025

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