Individual
KATELYN BARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1 CELLINI PL STE 102, WEST HAVEN, CT 06516-1666
(203) 932-6481
Mailing address
322 E MAIN ST STE 1B, BRANFORD, CT 06405-3136
(203) 488-7228
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
147812
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
10895
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147812
RN
CT
Enumeration date
05/14/2022
Last updated
06/21/2024
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