Provider Demographics
NPI:1528360708
Name:PALOMBIZIO, APRIL MERCY (APRN)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:MERCY
Last Name:PALOMBIZIO
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 1:1615 STANLEY ST
Mailing Address - Street 2:P.O. BOX 4010
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06050-2439
Mailing Address - Country:US
Mailing Address - Phone:860-823-1925
Mailing Address - Fax:860-832-2579
Practice Address - Street 1:1615 STANLEY ST
Practice Address - Street 2:UNIVERSITY HEALTH SERVICES
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06050-2439
Practice Address - Country:US
Practice Address - Phone:860-823-1925
Practice Address - Fax:860-832-2579
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-22
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTE58495163W00000X
CT003160363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse