Provider Demographics
NPI:1790948701
Name:AMERIGHI, MARY ELLEN (APRN)
Entity Type:Individual
Prefix:
First Name:MARY ELLEN
Middle Name:
Last Name:AMERIGHI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:MARY ELLEN
Other - Middle Name:
Other - Last Name:PORRATA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:27 GOVERNOR STREET
Mailing Address - Street 2:RVNA
Mailing Address - City:RIDGEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06877
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:27 GOVERNOR ST
Practice Address - Street 2:RVNA
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877
Practice Address - Country:US
Practice Address - Phone:203-758-2594
Practice Address - Fax:203-758-2708
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001992363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health