NPI Profile for ELYSIA M CERRETA DIAL in STRATFORD, CT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner |
| NPI Number | 1639694441 |
|
| Status | Active | |
| Credentials | AGNP | |
| Entity | Individual | |
| Enumeration date | 08/14/2017 | |
| Last updated | 04/23/2026 - About 1 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ELYSIA M CERRETA DIAL
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