Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 002908 | CT |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 002908 | CT |
NPI | 1013012855 |
---|---|
Provider Name | Ms. Joann M Orsatti |
First Address | Torrington, CT 06790-4937 |
Second Address | Torrington, CT 06790-4937 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2006 |
Last Update Date | 19/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002908 | STATE LICENSE (01) | CT |
004247872 | (05) | CT |
34047 | CDS NUMBER (01) | CT |
MO1000366 | DEA NUMBER (01) | CT |