Melissa A Fazzolari
APRN | Nurse Practitioner - Gerontology
270 Main St Ste A, Portland
Connecticut, 06480-1836
860-358-5040
Melissa A Fazzolari is a Portland, Connecticut based nurse practitioner who is specialized as Gerontology NP. Active license number of Melissa A Fazzolari is 7770 for Gerontology NP in Connecticut. Her current practice location is 270 Main St Ste A, Portland. Patients can reach her at 860-358-5040 or can fax her at 860-358-8658. Melissa A Fazzolari is APRN with specialization in Gerontology NP and her NPI number (Unique professional ID assigned by NPPES) is 1477041564.
Melissa A Fazzolari is specially trained to treat the complex physical and mental health needs of older adults. She have the right to administer medications, order and assess diagnostic tests, and design and implement comprehensive treatment plans for her patients.
Adult Gerontology Nurse Practitioner (AGNP) day-to-day responsibilities include helping older patients with daily tasks like eating, bathing, dressing, and walking, administering medications, monitoring vital signs, cooperating with physicians, other advanced nurse practitioners, and registered nurses.
Complete Profile:
Melissa A Fazzolari speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Melissa A Fazzolari |
| Specialization: | Nurse Practitioner - Gerontology (AGNP) |
| Gender: | Female |
| Credentials: | APRN |
| Practice Address: | 270 Main St Ste A, Portland,
Connecticut, 06480-1836 |
| Phone: | 860-358-5040 |
| Fax: | 860-358-8658 |
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.
| NPI Number: | 1477041564 |
| NPI Enumeration Date: | 25 Apr, 2018 |
| NPI Last Update On: | 05 Feb, 2026 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Melissa A Fazzolari are as mentioned below.
| License Number | Specialization | State | Status | |
| 7770 | Gerontology NP | Connecticut | Primary | |
| 7770 | Nurse Practitioner | Connecticut | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Melissa A Fazzolari such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 008082360 | Medicaid | Connecticut | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Melissa A Fazzolari
28 Crescent St,
Middletown, Connecticut |
| Zip: | 06457-3654 |
| Phone Number: | 860-358-4870 |
| Fax Number: | 860-358-8661 |
Patients can reach Melissa A Fazzolari at
270 Main St Ste A, Portland, Connecticut or can
call to book an appointment on 860-358-5040.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.