Individual
KERRY PETRELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
64 ROBBINS ST, WATERBURY, CT 06708
(203) 573-6232
(203) 573-6030
Mailing address
64 ROBBINS ST, WATERBURY, CT 06708-2613
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
69413
CT
363LF0000X
Family Nurse Practitioner
Primary
7838
CT
Other
Enumeration date
08/02/2018
Last updated
06/24/2022
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