Provider Demographics
NPI:1861266298
Name:LAFERRIERE, GABRIELLA (DNP, FNP)
Entity type:Individual
Prefix:DR
First Name:GABRIELLA
Middle Name:
Last Name:LAFERRIERE
Suffix:
Gender:F
Credentials:DNP, FNP
Other - Prefix:DR
Other - First Name:GABRIELLA
Other - Middle Name:K
Other - Last Name:LAFERRIERE-STOLYAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP, FNP
Mailing Address - Street 1:25 APPLE RD
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:CT
Mailing Address - Zip Code:06010-3002
Mailing Address - Country:US
Mailing Address - Phone:860-863-6456
Mailing Address - Fax:
Practice Address - Street 1:14 MAPLE ST
Practice Address - Street 2:
Practice Address - City:TERRYVILLE
Practice Address - State:CT
Practice Address - Zip Code:06786-5220
Practice Address - Country:US
Practice Address - Phone:860-863-6456
Practice Address - Fax:860-397-9799
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-07
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT13296363LF0000X
CT2024042720363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily