Provider Demographics
NPI:1669293510
Name:BUGRYN, TAYLOR ALYSSA (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:TAYLOR
Middle Name:ALYSSA
Last Name:BUGRYN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 KINGS HWY E STE 203
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06825-4861
Mailing Address - Country:US
Mailing Address - Phone:203-814-1068
Mailing Address - Fax:
Practice Address - Street 1:501 KINGS HWY E STE 203
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06825-4861
Practice Address - Country:US
Practice Address - Phone:203-814-1068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT13792363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily