Provider Demographics
NPI:1558711093
Name:CAROL PISANI APRN, LLC
Entity Type:Organization
Organization Name:CAROL PISANI APRN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:J
Authorized Official - Last Name:PISANI
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:203-522-6088
Mailing Address - Street 1:935 WHITE PLAINS RD
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-4547
Mailing Address - Country:US
Mailing Address - Phone:203-522-6088
Mailing Address - Fax:203-268-8093
Practice Address - Street 1:935 WHITE PLAINS RD
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-4547
Practice Address - Country:US
Practice Address - Phone:203-522-6088
Practice Address - Fax:203-268-8093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-15
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTD300085483Medicare UPIN