Provider Demographics
NPI:1285391417
Name:CIOFFI, LISA (MSN, RN, CWON)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:
Last Name:CIOFFI
Suffix:
Gender:F
Credentials:MSN, RN, CWON
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 PETTIT DR
Mailing Address - Street 2:
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06451-4971
Mailing Address - Country:US
Mailing Address - Phone:203-214-7373
Mailing Address - Fax:203-785-2615
Practice Address - Street 1:789 HOWARD AVE
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519-1300
Practice Address - Country:US
Practice Address - Phone:203-785-2616
Practice Address - Fax:203-785-2615
Is Sole Proprietor?:No
Enumeration Date:2021-11-22
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT63654163WX1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX1500XNursing Service ProvidersRegistered NurseOstomy Care