Mignosa, Tricia

Mignosa, Tricia is an individual health care provider with primary practice located at 2415 Boston Post Rd Ste 12 , Guilford CT 06437-4348. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Mignosa, Tricia can be contacted via phone (203) 693-4566.

Contact Information

Primary practice address
2415 Boston Post Rd Ste 12 Guilford CT 06437-4348
Phone: (203) 693-4566
Fax: (203) 457-5970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 006393 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5763 Connecticut

Profile Details

NPI number 1770626129
LBN Legal business name Mignosa, Tricia
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Nov 28th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770626129 NPPES
Connecticut MEDICAID 0040399533

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