Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alisa B Bray, APRN

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1720620065

Alisa B Bray, APRN is a Nurse Practitioner in Willimantic, Connecticut. Qualified in 2019, 7 years ago. Licensed in Connecticut.

Years since qualifying
7
Licensed in
CT
In the registry since
2019
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

112 Mansfield Ave
Willimantic, CT 06226-2045
Phone: (860) 456-9116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 8551 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1720620065
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedOctober 8, 2019
Last updated in NPPESDecember 11, 2019
Certification dateDecember 11, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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