PNP-PC | Nurse Practitioner - Pediatrics | 9+ years Exp
Accepts Medicare Pediatrics Nurse Practitioner in Hartford, Connecticut.
Mallory Fossa is a Hartford, Connecticut based nurse practitioner with 9 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 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:
9+ years
Medical School Attended:
Other
Graduation Year:
2015
Accepts Medicare Assignment:
Yes
Practice Address:
282 Washington St, Hartford, Connecticut, 06106-3322
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
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.