MALLORY FOSSA, PNP-PC

Pediatric Anesthesiology Physician · HARTFORD, CT

Individual Active NPI 1780059030

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Pediatric Anesthesiology Physician207LP3000X95003548CA
Pediatric Nurse Practitioner363LP0200X95003548CA
Pediatric Nurse Practitioner363LP0200X12.008276CT

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
No

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.