Kelly Theresa Tobin Valid NPI
Individual provider · Psychiatric/Mental Health Nurse Practitioner · Enfield, CT
- NPI
- 1164072062
- Type
- Individual (Type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LP0808X
- License number
- 009549 (CT)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2019-09-13
- Last updated
- 2021-03-02
Practice location
153 Hazard Ave
Enfield, CT 06082-4592
(860) 253-5020