Mary Ellen Amerighi, APRN

Individual provider Active NPI Adult Health Nurse Practitioner · Ridgefield, CT

NPI 1790948701 · NPPES record last updated May 13, 2016

Key facts

NPI
1790948701
Entity type
Individual (NPI type 1)
Primary specialty
Adult Health Nurse Practitioner 363LA2200X
License
001992 (CT)
Practice address
27 Governor St
Rvna
Ridgefield, CT 06877
Phone
(203) 758-2594
Fax
(203) 758-2708
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
001992CTMDPhysician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 001992 CT Yes

Addresses

Primary practice location

27 Governor St
Rvna
Ridgefield, CT 06877

Mailing address

27 Governor Street
Rvna
Ridgefield, CT 06877

Other names

  • Mary Ellen Porrata Former name

Other providers in Ridgefield, CT

All providers in Ridgefield, CT · Adult Health Nurse Practitioner in Connecticut

Sources for this page

Verify at the official NPI Registry.