Provider Demographics
NPI:1336866581
Name:MUSSO, ALESSANDRA M (APRN)
Entity type:Individual
Prefix:
First Name:ALESSANDRA
Middle Name:M
Last Name:MUSSO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 RIVERSIDE AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-4821
Mailing Address - Country:US
Mailing Address - Phone:203-221-3030
Mailing Address - Fax:203-221-3131
Practice Address - Street 1:327 RIVERSIDE AVE STE 1
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-4821
Practice Address - Country:US
Practice Address - Phone:203-221-3030
Practice Address - Fax:203-221-3131
Is Sole Proprietor?:No
Enumeration Date:2022-10-27
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT11139363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily