Individual
KRISTEN ELIZABETH SHIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
86 NEW LONDON TURNPIKE, NORWICH, CT 06360
(860) 889-6967
(860) 885-1033
Mailing address
86 NEW LONDON TURNPIKE, NORWICH, CT 06360
(860) 889-6967
(860) 885-1033
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11528
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00809640
—
CT
Enumeration date
02/01/2023
Last updated
03/03/2026
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