Individual
KRISTEN SOUTHWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
333 CEDAR ST. TMP 3, NEW HAVEN, CT 06510-3206
(203) 502-4634
Mailing address
1016 FOLLY BROOK BLVD, WETHERSFIELD, CT 06109-3238
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
313257
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
139419
CT
Other
Enumeration date
06/30/2021
Last updated
09/26/2022
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