Mallory Fossa
PNP-PC | Nurse Practitioner - Pediatrics | 10+ years Exp
282 Washington St, Hartford
Connecticut, 06106-3322
860-837-5207
Mallory Fossa is a Hartford, Connecticut based nurse practitioner with 10 years of experience in Pediatrics. She completed her graduation in 2015. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mallory Fossa is 95003548 for Nurse Practitioner in California. Her current practice location is 282 Washington St, Hartford. Patients can reach her at 860-837-5207. Mallory Fossa is PNP-PC with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1780059030.
Mallory Fossa specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Mallory Fossa speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mallory Fossa |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Female |
| Credentials: | PNP-PC |
| Experience: | 10+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2015 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 282 Washington St, Hartford,
Connecticut, 06106-3322 |
| Phone: | 860-837-5207 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 1557632106 |
| Enrollment ID: | I20190822002533 |
| NPI Number: | 1780059030 |
| NPI Enumeration Date: | 10 Dec, 2015 |
| NPI Last Update On: | 12 Sep, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mallory Fossa are as mentioned below.
| License Number | Specialization | State | Status | |
| 95003548 | Nurse Practitioner | California | Primary | |
| 95003548 | Pediatrics | California | Secondary | |
| 12.008276 | Pediatrics | Connecticut | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mallory Fossa is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Connecticut Children's Specialty Group, Inc (6002720117) | 107 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mallory Fossa
3701 Wilshire Blvd, Suite 600
Los Angeles, California |
| Zip: | 90010-2814 |
| Phone Number: | 323-361-3550 |
| Fax Number: | 323-361-8502 |
Patients can reach Mallory Fossa at
282 Washington St, Hartford, Connecticut or can
call to book an appointment on 860-837-5207.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.