Individual
KELLY K GRECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
46 PRINCE ST STE 601, NEW HAVEN, CT 06519-1634
(203) 752-1726
(203) 752-1858
Mailing address
31 BROADWAY, NORTH HAVEN, CT 06473-2304
(203) 234-1324
(203) 239-3047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
004907
CT
363LF0000X
Family Nurse Practitioner
4907
CT
Other
Enumeration date
09/17/2012
Last updated
08/17/2016
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