Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 002465 | CT |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 2465 | CT |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 002465 | CT |
N | 363LP2300X | Nurse Practitioner - Primary Care | 002465 | CT |
NPI | 1295904225 |
---|---|
Provider Name | Mrs. Kary Ann Krochko |
First Address | Milford, CT 06460-4602 |
Second Address | Milford, CT 06460 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2008 |
Last Update Date | 07/08/2018 |