Individual
LUCILA KAISIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC
Contact information
Practice address
400 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3000
Mailing address
400 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12.012213
CT
Other
Enumeration date
02/20/2019
Last updated
08/08/2023
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