IndividualActive
Alisha Bourassa
NPI 1689983280 · Certified Registered Nurse Anesthetist · Middletown, CT
Provider details
- NPI number
- 1689983280
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 076422 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
28 Crescent St
Middletown, CT 06457-3654
Phone: (203) 915-5701
Approximate (ZIP-level) locationGet directions
Mailing address
79r Wildwood Cir
Durham, CT 06422-2605
Additional practice locations (1)
- 114 Woodland StHartford, CT 06105-1208Phone: (860) 714-6654
Registry dates
- Enumerated
- 2010-09-29
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.