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NPI Code Detail

MEDICARE: AMY PARILLO ROBLES CRNA

MEDICARE:   AMY PARILLO ROBLES  CRNA
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
1207L00000XAnesthesiology Physician4117CT
2367500000XCertified Registered Nurse Anesthetist075037CT
3367500000XCertified Registered Nurse Anesthetist4117CT

General Provider Information

NPI Number : 1699912808
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY PARILLO ROBLES CRNA
Provider Business Mailing Address
First Line : 2305 HILLSIDE RD
Second Line :
City : FAIRFIELD
State : CT
Zip : 06824-2019
Country : US
Telephone Number : 703-786-4706
Fax Number :
Provider Business Practice Location Address
First Line : 267 GRANT ST
Second Line :
City : BRIDGEPORT
State : CT
Zip : 06610-2870
Country : US
Telephone Number : 203-384-3801
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2009
Last Update Date : 01/15/2021

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Directions to “ AMY PARILLO ROBLES CRNA” Practice Location

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