Provider Demographics
NPI:1205933462
Name:ALSEN PISCIONERI, LAURA (CNM)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:
Last Name:ALSEN PISCIONERI
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 ARNOLDALE RD
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06119-1702
Mailing Address - Country:US
Mailing Address - Phone:860-232-8182
Mailing Address - Fax:
Practice Address - Street 1:201 E CENTER ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-5242
Practice Address - Country:US
Practice Address - Phone:860-649-6199
Practice Address - Fax:860-643-2123
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000079367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife