Provider Demographics
NPI:1841764305
Name:ROSADO, VALLERIE MICHELLE (APRN FNP-BC)
Entity type:Individual
Prefix:
First Name:VALLERIE
Middle Name:MICHELLE
Last Name:ROSADO
Suffix:
Gender:F
Credentials:APRN FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 ARROW RD STE 107A
Mailing Address - Street 2:
Mailing Address - City:WETHERSFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06109-1357
Mailing Address - Country:US
Mailing Address - Phone:860-851-3545
Mailing Address - Fax:860-266-1127
Practice Address - Street 1:61 ARROW RD STE 107A
Practice Address - Street 2:
Practice Address - City:WETHERSFIELD
Practice Address - State:CT
Practice Address - Zip Code:06109-1357
Practice Address - Country:US
Practice Address - Phone:860-851-3545
Practice Address - Fax:860-266-1127
Is Sole Proprietor?:No
Enumeration Date:2019-01-17
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT12.008054363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily