Provider Demographics
NPI:1245237866
Name:VINCI-SCARTOZZI, GERALDINE (MS, APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:GERALDINE
Middle Name:
Last Name:VINCI-SCARTOZZI
Suffix:
Gender:F
Credentials:MS, APRN, FNP-C
Other - Prefix:MS
Other - First Name:GERALDINE
Other - Middle Name:
Other - Last Name:VINCI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, FNP-C
Mailing Address - Street 1:285 MAILANDS RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-3968
Mailing Address - Country:US
Mailing Address - Phone:917-428-8012
Mailing Address - Fax:
Practice Address - Street 1:285 MAILANDS RD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-3968
Practice Address - Country:US
Practice Address - Phone:917-428-8012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-29
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.493727163W00000X
NY334515363LF0000X
AZ269358163W00000X, 363LF0000X
CA686679163W00000X
DC1056320163W00000X, 363LF0000X
WA61041135163W00000X
CA16797363LF0000X
IL209.021093363LF0000X
WA61041136363LF0000X
MA13504363LF0000X
CT003772363LF0000X
NY533400163W00000X
CT084151163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTD400001400Medicare PIN