Provider Demographics
NPI:1285698118
Name:ZABROCKY, FRANCES (APRN)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:
Last Name:ZABROCKY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 WOODLAND RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:CT
Mailing Address - Zip Code:06443-2342
Mailing Address - Country:US
Mailing Address - Phone:203-318-5200
Mailing Address - Fax:203-318-5203
Practice Address - Street 1:11 WOODLAND RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:CT
Practice Address - Zip Code:06443-2342
Practice Address - Country:US
Practice Address - Phone:203-318-5200
Practice Address - Fax:203-318-5203
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001210363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT500004642OtherRAILROAD MEDICARE
CT500000146Medicare ID - Type Unspecified