Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL DISTASIO
ActiveMICHAEL DISTASIO is a Family Nurse Practitioner healthcare provider located in NEW HAVEN, Connecticut. NPI 1194580795 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · NEW HAVEN, CT
Registration Details
- NPI Number
- 1194580795
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 14, 2024 (2.4896895531826 yrs)
- Last Updated
- Dec 5, 2024
- Licenses
-
154019 (CT)14094 (CT)
Practice Information
- Address
-
YALE NEW HAVEN HEALTH789 HOWARD AVENUENEW HAVEN, CT, 06460Browse CT providers · Browse ZIP 06460
- Phone
- 2034306379
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in NEW HAVEN, CT
| Name | Credential | NPI |
|---|---|---|
| KATE WEYMAN | APRN | 1467458521 |
| MARY ELLEN BALDINO | APRN | 1417958364 |
| MRS. ALICIA BURR | APRN | 1225028665 |
| PATRICIA AGNES GARRETT | APRN | 1114909850 |
| MS. STEFANIE ANNE GENERAO | NP | 1093798860 |
| MS. CONCETTINA TOLOMEO | APRN | 1952384497 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.