MEDICARE: VICTORIA A ESPARO

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	7280	CT

General Provider Information

NPI Number	:	1639689631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA A ESPARO

Provider Business Mailing Address
First Line	:	540 DOGWOOD RD
Second Line	:
City	:	ORANGE
State	:	CT
Zip	:	06477-2007
Country	:	US
Telephone Number	:	203-214-1352
Fax Number	:

Provider Business Practice Location Address
First Line	:	330 ORCHARD ST STE 300
Second Line	:
City	:	NEW HAVEN
State	:	CT
Zip	:	06511-4430
Country	:	US
Telephone Number	:	203-680-7050
Fax Number	:

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

Provider Enumeration Date	:	10/04/2017
Last Update Date	:	10/04/2017

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Directions to “ VICTORIA A ESPARO ” Practice Location

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