Provider Demographics
NPI:1053970939
Name:MIHAILESCU, EMILY RACHEL (APRN)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:RACHEL
Last Name:MIHAILESCU
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:399 MILL HILL AVE
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06610-2865
Mailing Address - Country:US
Mailing Address - Phone:855-542-7764
Mailing Address - Fax:203-690-1265
Practice Address - Street 1:399 MILL HILL AVE
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06610-2865
Practice Address - Country:US
Practice Address - Phone:855-542-7764
Practice Address - Fax:203-690-1265
Is Sole Proprietor?:No
Enumeration Date:2019-06-13
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT8463363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily