Provider Demographics
NPI:1083190243
Name:TUESTA, SYLWIA (AGPCNP-BC)
Entity Type:Individual
Prefix:MISS
First Name:SYLWIA
Middle Name:
Last Name:TUESTA
Suffix:
Gender:F
Credentials:AGPCNP-BC
Other - Prefix:MISS
Other - First Name:SYLWIA
Other - Middle Name:
Other - Last Name:SZUMSKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AGPCNP-BC
Mailing Address - Street 1:94 CABOT ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06053-2946
Mailing Address - Country:US
Mailing Address - Phone:860-331-0660
Mailing Address - Fax:
Practice Address - Street 1:140 PARK AVE
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002-3207
Practice Address - Country:US
Practice Address - Phone:860-243-9591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-11
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT10.127652163W00000X
CT12.007715363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse