Provider Demographics
NPI:1487750782
Name:NAPIELLO, VIRGINIA ELLEN (APRN)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:ELLEN
Last Name:NAPIELLO
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 1:56 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06706-1253
Mailing Address - Country:US
Mailing Address - Phone:203-709-6360
Mailing Address - Fax:203-709-6220
Practice Address - Street 1:56 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06706-1253
Practice Address - Country:US
Practice Address - Phone:203-709-6360
Practice Address - Fax:203-709-6220
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001683363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
4000016830402OtherBCBS
CTPENDINGOtherRR MEDICARE
CT001025060Medicaid
CTD400028274Medicare PIN
500000528Medicare ID - Type Unspecified
S54266Medicare UPIN
CT001025060Medicaid
4000016830402OtherBCBS