Provider Demographics
NPI:1063672780
Name:CUTRALI, MARIA (ANP-BC)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:CUTRALI
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:C
Other - Last Name:MANCINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANP-BC
Mailing Address - Street 1:111 OSBORNE ST
Mailing Address - Street 2:SUITE 131
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-6000
Mailing Address - Country:US
Mailing Address - Phone:203-739-7155
Mailing Address - Fax:203-739-8050
Practice Address - Street 1:111 OSBORNE ST
Practice Address - Street 2:SUITE 131
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-6000
Practice Address - Country:US
Practice Address - Phone:203-739-7155
Practice Address - Fax:203-739-8050
Is Sole Proprietor?:No
Enumeration Date:2008-06-16
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003783363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health