Provider Demographics
NPI:1184821555
Name:DENICOLA, ALLISON ROSE (APRN, BC)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:ROSE
Last Name:DENICOLA
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:MS
Other - First Name:ALLISON
Other - Middle Name:ROSE
Other - Last Name:AMOROSI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1290 SILAS DEANE HWY
Mailing Address - Street 2:HARTFORD HEALTHCARE-CVO
Mailing Address - City:WETHERSFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06109-4337
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:60 DANBURY RD STE 101
Practice Address - Street 2:
Practice Address - City:WILTON
Practice Address - State:CT
Practice Address - Zip Code:06897-4406
Practice Address - Country:US
Practice Address - Phone:203-926-8835
Practice Address - Fax:203-929-8805
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003636363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health