Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAKE PETILLO
Active Sole ProprietorJAKE PETILLO is a Nurse Practitioner healthcare provider located in NEW BRITAIN, Connecticut. NPI 1982474482 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · NEW BRITAIN, CT
Registration Details
- NPI Number
- 1982474482
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 5, 2024 (2.6423122341228 yrs)
- Last Updated
- Jan 5, 2024
- License
-
12761 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 GRAND STNEW BRITAIN, CT, 060522016Browse CT providers · Browse ZIP 06052
- Phone
- 8602245011
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in NEW BRITAIN, CT
| Name | Credential | NPI |
|---|---|---|
| MS. ROSALIND M MELNICOFF | APRN | 1114903812 |
| MS. CYNTHIA KOCISZEWSKI | APRN | 1326025248 |
| MS. NANCY HEMINGWAY | APRN | 1255318143 |
| RENATA KOZAK | APRN | 1730124579 |
| SUSAN DAGOSTINO | APRN | 1093743908 |
| RITA BONCZEK | APRN | 1538178074 |
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.