Spalla, Elise Katherine

Spalla, Elise Katherine is an individual health care provider with primary practice located at 175 Scott Swamp Rd , Farmington CT 06032-3124. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Spalla, Elise Katherine can be contacted via phone (860) 751-6265.

Contact Information

Primary practice address
175 Scott Swamp Rd Farmington CT 06032-3124
Phone: (860) 751-6265
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 88959 Connecticut

Profile Details

NPI number 1093343741
LBN Legal business name Spalla, Elise Katherine
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2020
Last updated Mar 30th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093343741 NPPES
Connecticut MEDICAID 1811520810

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