Individual
GINA KOLSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
279 QUARRY RD # 2, GLASTONBURY, CT 06033-3406
(860) 638-7299
Mailing address
PO BOX 269, EAST GLASTONBURY, CT 06025-0269
(860) 638-7299
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9250
CT
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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