Individual provider · Type 1 NPI

Michelle A. Mattiaccio, APRN BC

Adult Health Nurse Practitioner · Waterbury, CT

NPI number 1386710176 Active

Practice location

88 Grandview Ave
Waterbury, CT 06708-2509

Fax (203) 573-6575

Mailing address

4 Midland Rd
Waterbury, CT 06705-3412

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X003538 (CT)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1386710176

Michelle A. Mattiaccio, APRN BC's National Provider Identifier is 1386710176, issued on Nov 27, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Waterbury, CT. The record was last updated on Mar 25, 2014.