Kelly Theresa Tobin
Nurse Practitioner, Psych/Mental Health in Enfield, CT. Individual provider (NPI-1).
NPI number1164072062
StatusActive
Last updated in NPPESMar 2, 2021
Details
- NPI
- 1164072062
- Entity type
- Individual (NPI-1)
- Name
- Kelly Theresa Tobin
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 13, 2019
- Certification date
- Mar 2, 2021
- Last updated
- Mar 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 009549 | CT | Yes |
| 163W00000X | Registered Nurse | 084503 | CT |
Practice location
153 Hazard AveEnfield, CT 06082-4592
Phone 860-253-5020
Mailing address
2 Waterside Xing Ste 401Windsor, CT 06095-1587
Phone 860-697-3351
Other practice locations
35 Madsen Rd
West Hartford, CT 06110-2504
West Hartford, CT 06110-2504
Phone 860-305-3225
1491 Main St
Willimantic, CT 06226-1914
Willimantic, CT 06226-1914
Phone 860-456-3215
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All 10 Psychiatric/Mental Health Nurse Practitioner providers in Enfield · All 1,220 providers in Enfield
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