Provider Demographics
NPI:1699834887
Name:APONTE, MARISOL (APRN)
Entity Type:Individual
Prefix:
First Name:MARISOL
Middle Name:
Last Name:APONTE
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 1:509 WETHERSFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06114-1907
Mailing Address - Country:US
Mailing Address - Phone:860-296-2121
Mailing Address - Fax:860-296-1197
Practice Address - Street 1:509 WETHERSFIELD AVE
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06114-1907
Practice Address - Country:US
Practice Address - Phone:860-296-2121
Practice Address - Fax:860-296-1197
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTE49620363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health