Provider Demographics
NPI:1760197412
Name:ZIPADELLI, ALYSSA E
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:E
Last Name:ZIPADELLI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 COVERED BRIDGE RD UNIT 2307
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06470-1283
Mailing Address - Country:US
Mailing Address - Phone:860-919-9386
Mailing Address - Fax:
Practice Address - Street 1:92 PLAINS RD APT B42
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06461-2505
Practice Address - Country:US
Practice Address - Phone:860-919-9386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-17
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT143208163W00000X
CT12079363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse