Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MELISSA A FAZZOLARI, APRN
ActiveMELISSA A FAZZOLARI, APRN is a Gerontological Nurse Practitioner healthcare provider located in PORTLAND, Connecticut. NPI 1477041564 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · PORTLAND, CT
Registration Details
- NPI Number
- 1477041564
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 25, 2018 (8.2597075834674 yrs)
- Last Updated
- Feb 5, 2026
- Licenses
-
7770 (CT)7770 (CT)
Practice Information
- Address
-
270 MAIN ST STE APORTLAND, CT, 064801836Browse CT providers · Browse ZIP 06480
- Phone
- 8603585040
- Fax
- 8603588658
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Nurse Practitioner
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.