Individual provider · Type 1 NPI

Mallory Jane Aquila, APRN

Acute Care Nurse Practitioner · Bridgeport, CT

NPI number 1730039231 Active

Practice location

2800 Main St, Critical Care
Bridgeport, CT 06606-4292

Call (475) 210-5663 Map

Fax (475) 210-6512

Mailing address

1051 New Rock Hill Rd
Wallingford, CT 06492-2623

Specialties and licenses

Taxonomy	Code	License
Acute Care Nurse Practitioner Primary	363LA2100X	15050 (CT)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1730039231

Mallory Jane Aquila, APRN's National Provider Identifier is 1730039231, issued on Feb 2, 2026. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Bridgeport, CT. The record was last updated on Feb 3, 2026.