Individual
MS. KRISTEN JEANNE VETRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1928
(631) 474-6000
Mailing address
102 SARA CIR, PORT JEFFERSON STATION, NY 11776-2737
(631) 828-2159
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F304717
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
508718
NY
Other
Enumeration date
04/29/2008
Last updated
11/01/2021
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