Provider Demographics
NPI:1386945772
Name:RIZZARDI, CYNTHIA L (APRN)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:L
Last Name:RIZZARDI
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 1:115 TECHNOLOGY DR UNIT C101
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-6300
Mailing Address - Country:US
Mailing Address - Phone:203-372-7200
Mailing Address - Fax:203-374-1473
Practice Address - Street 1:115 TECHNOLOGY DR UNIT C101
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-6300
Practice Address - Country:US
Practice Address - Phone:203-372-7200
Practice Address - Fax:203-374-1473
Is Sole Proprietor?:No
Enumeration Date:2010-11-16
Last Update Date:2018-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT004535363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004535OtherLICENSE