Marilyn Sibrizzi Allatin, NP
Individual provider Active NPI Family Nurse Practitioner · Middletown, CT
NPI 1760717359 · NPPES record last updated Jan 18, 2013
Key facts
- NPI
- 1760717359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 004232 (CT)
- Practice address
- 675 Main Street
Middletown, CT 06457 - Phone
- (860) 347-6971
- NPI assigned
- Oct 15, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004232 | CT | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 004232 | CT | Yes |
Addresses
Primary practice location
675 Main Street
Middletown, CT 06457
Mailing address
91 Abbey Rd
East Hampton, CT 06424-2102
Phone (860) 267-0095
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004236346 | Medicaid | CT |
Other providers in Middletown, CT
- Erin R Alex
- Nicole Marie Alexopoulos
- Sabrina Lucia Aliano
- Align Therapy and Wellness
- All Care LLC
- William Mark Allen
- Jeanne Allison
- Lisa C Alonso
- Jose Alvarez
- Rachel Ann Amatruda
All providers in Middletown, CT · Family Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.