Maryanne D Cristodero, RN, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

17837 Issued in CT

Practice address

2909 Main St
Stratford, CT 06614-4960

Phone

(203) 378-3080

Fax

(203) 377-3897

NPI assigned

Aug 27, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1083593909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 GREEN KNOLLS LN",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068243509",
            "telephone_number": "917-750-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144960",
            "telephone_number": "203-378-3080",
            "fax_number": "203-377-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISTODERO",
        "first_name": "MARYANNE",
        "middle_name": "D",
        "credential": "RN, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-27",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "74571",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "17837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Cosenza, AGNP
• Michael A Costa, PHARMD
• Nora Coulter, APRN
• Covenant Family Medicine LLC
• Cristina Guazzelli
• CRK Wellness Solutions LLC
• Nicole Christine Croce, PT
• David A Crosby
• Shadaesa Crumbrey
• Arnold A. Cummins, O.D.

• Family Nurse Practitioner in Stratford, CT
• Providers in Stratford, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.