Individual
KIRSTIN ANASTASIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
1901 POST RD # B, FAIRFIELD, CT 06824-5721
(203) 254-9214
Mailing address
245 UNQUOWA RD, UNIT 92, FAIRFIELD, CT 06824-5057
Taxonomy
Speciality
Code
Description
License number
State
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Primary
003230
CT
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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