Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALLORY FOSSA, PNP-PC
Active Sole ProprietorMALLORY FOSSA, PNP-PC is a Pain Medicine healthcare provider located in HARTFORD, Connecticut. NPI 1780059030 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine · HARTFORD, CT
Registration Details
- NPI Number
- 1780059030
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 10, 2015 (10.695742429039 yrs)
- Last Updated
- Sep 12, 2022
- Licenses
-
95003548 (CA)12.008276 (CT)95003548 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
282 WASHINGTON STHARTFORD, CT, 061063322Browse CT providers · Browse ZIP 06106
- Phone
- 8608375207
- Primary Specialty
-
Pain Medicine
207LP3000X
- Additional Specialty
- Pediatric Nurse Practitioner
- Additional Specialty
- Pain Medicine
Other Pain Medicine Providers in HARTFORD, CT
| Name | Credential | NPI |
|---|---|---|
| KAPAUNER R LEWIS | M.D. | 1619934577 |
| CHERYL BLINE | M.D. | 1790006344 |
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.