SearchConnecticutPediatric Anesthesiology Physician

Mallory Fossa, PNP-PC

NPI 1780059030 · on the registry since 2015 · sole proprietor

Practice

Address
282 Washington St
Hartford, CT 06106
Phone
(860) 837-5207
Organisation at this address
Pediatric Cardiology Associates, Llc
Connecticut Children'S Medical Center
Connecticut Children'S Medical Center
Connecticut Children'S Medical Center
Connecticut Children'S Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
622

Additional practice sites

  • 4650 W Sunset Blvd, Los Angeles, CA

Registry record

Primary taxonomy
Pediatric Anesthesiology Physician
207LP3000X
Also registered as
Pediatric Nurse Practitioner
Pediatric Nurse Practitioner
Licence states on file
CA, CT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-09-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut