MELISSA FAZZOLARI, APRN

Nurse Practitioner - Gerontology

Active Individual
NPI: 1477041564

Practice Address

270 MAIN ST STE A
Portland, CT 06480

Phone: (860) 358-5040

Specialties

Specialty Code Primary License
Nurse Practitioner - Gerontology 363LG0600X Yes 7770 (CT)
Nurse Practitioner 363L00000X No 7770 (CT)

Frequently Asked Questions

NPI 1477041564 is the National Provider Identifier for MELISSA FAZZOLARI, APRN, a Nurse Practitioner - Gerontology provider located in Portland, CT. This NPI was enumerated on April 25, 2018.
MELISSA FAZZOLARI, APRN practices at 270 MAIN ST STE A, Portland, CT 06480.

Quick Facts

NPI
1477041564
Type
Individual
Enumerated
Apr 25, 2018
Last Updated
Feb 5, 2026

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