Most Relevant Information
Provider Data
| NPI Number: | 1003463159 |
| Provider Name: | ASHLEY ANTONUCCI DNP- FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 8420 |
Most Important Dates
| Enumeration Date: | 08/22/2019 |
| Last Updated: | 04/06/2020 |
Provider Practice Location
1 LONG WHARF DR
NEW HAVEN
CT
065115991
Practice Location Phone/Fax
| Phone: | 2036888800 |
| Fax: |
Provider Mailing Location
2660 MAIN ST
STE 219
BRIDGEPORT
CT
066065301
Provider Mailing Phone/Fax
| Phone: | 2032319843 |
| Fax: |