Provider Demographics
NPI:1407553217
Name:ALESSI, TAYLOR (DNP)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:ALESSI
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79 TODDS HILL RD
Mailing Address - Street 2:
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405-6030
Mailing Address - Country:US
Mailing Address - Phone:203-823-5687
Mailing Address - Fax:
Practice Address - Street 1:79 TODDS HILL RD
Practice Address - Street 2:
Practice Address - City:BRANFORD
Practice Address - State:CT
Practice Address - Zip Code:06405-6030
Practice Address - Country:US
Practice Address - Phone:203-823-5687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT140423163W00000X
CT10919363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse