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Contact Information

MALLORY J AQUILA, APRN
2800 MAIN ST
CRITICAL CARE
BRIDGEPORT, CT06606-4292
 Phone: 475-210-5663
 Fax: 475-210-6512
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MALLORY J AQUILA · (Female)

NPI # 1730039231
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 02/02/2026
Last updated 02/03/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • CT License # 15050
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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