Provider Demographics
NPI:1598262891
Name:DAYNA LEIGH GIORDANO ARICI, APRN, FNP C LLC
Entity Type:Organization
Organization Name:DAYNA LEIGH GIORDANO ARICI, APRN, FNP C LLC
Other - Org Name:DAYNA LEIGH GIORDANO APRN FNP C LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:FOGG DONOVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-668-1613
Mailing Address - Street 1:420 E MAIN ST STE 13
Mailing Address - Street 2:
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405-2942
Mailing Address - Country:US
Mailing Address - Phone:203-481-5556
Mailing Address - Fax:
Practice Address - Street 1:71 BRADLEY RD UNIT 6
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:CT
Practice Address - Zip Code:06443-2662
Practice Address - Country:US
Practice Address - Phone:203-421-6242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-12
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT6994363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty