Individual
KELLY QUIJANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
895 EAST MAIN STREET, TORRINGTON, CT 06790-3918
(860) 489-1291
(860) 489-1804
Mailing address
895 EAST MAIN STREET, TORRINGTON, CT 06790-3918
(860) 489-1291
(860) 489-1804
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
10559
CT
363LG0600X
Gerontology Nurse Practitioner
10559
CT
363LP2300X
Primary Care Nurse Practitioner
Primary
010559
CT
Other
Enumeration date
04/27/2022
Last updated
07/13/2022
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