PHYLLIS A TARALLO
Advanced Practice Registered Nurse


Address: 7b Talcott Forest Rd, Farmington, CT 06032

PHYLLIS A TARALLO (Credential# 681093) is licensed (Advanced Practice Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is June 21, 2007. The license expiration date date is March 31, 2008. The license status is INACTIVE.

Business Overview

PHYLLIS A TARALLO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #12.002915. The credential type is advanced practice registered nurse. The effective date is June 21, 2007. The expiration date is March 31, 2008. The business address is 7b Talcott Forest Rd, Farmington, CT 06032. The current status is inactive.

Basic Information

Licensee Name PHYLLIS A TARALLO
Credential ID 681093
Credential Number 12.002915
Credential Type Advanced Practice Registered Nurse
Business Address 7b Talcott Forest Rd
Farmington
CT 06032
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2003-08-18
Effective Date 2007-06-21
Expiration Date 2008-03-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
343822 CSP.0033867 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-04-17 2006-04-17 - 2007-02-28 INACTIVE
578203 10.074199 Registered Nurse 2004-08-19 2005-02-02 - 2006-03-31 INACTIVE

Office Location

Street Address 7B TALCOTT FOREST RD
City FARMINGTON
State CT
Zip Code 06032

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Competitor

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City FARMINGTON
Zip Code 06032
License Type Advanced Practice Registered Nurse
License Type + County Advanced Practice Registered Nurse + FARMINGTON

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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