Provider Demographics
NPI:1497004402
Name:TUOZZO, EMILY JANE (APRN)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:JANE
Last Name:TUOZZO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1351 WHALLEY AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06515-1149
Mailing Address - Country:US
Mailing Address - Phone:203-889-2676
Mailing Address - Fax:203-889-2691
Practice Address - Street 1:1351 WHALLEY AVE
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06515-1149
Practice Address - Country:US
Practice Address - Phone:203-889-2676
Practice Address - Fax:203-889-2691
Is Sole Proprietor?:No
Enumeration Date:2012-09-05
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT5119363L00000X, 363LP2300X, 363LF0000X
CT005119363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008003745OtherTUOZZO MEDICAID
CTD400083844Medicare PIN
CT004082286Medicaid
CT008022626Medicaid
CT500000315Medicaid
CTC01033OtherMEDICARE IDENTIFICATION NUMBER
CT004217099Medicaid
CT008056168Medicaid
CT008001325Medicaid
CT004082260Medicaid
CT004082286Medicaid
CT008022626Medicaid
CT008023170Medicaid
CT008024427Medicaid
CT008039745Medicaid
CT004041000Medicaid
CT500000315Medicaid