Individual provider · Type 1 NPI
Kentrone Vines, AGACNP-BC
Acute Care Nurse Practitioner · New Haven, CT
NPI number
1003611013
Active
Practice location
20 York St
New Haven, CT 06510-3220
Mailing address
351 Kettletown Rd
Southbury, CT 06488-2637
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 14470 (CT) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1003611013
Kentrone Vines, AGACNP-BC's National Provider Identifier is 1003611013, issued on Feb 14, 2025. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in New Haven, CT. The record was last updated on Feb 14, 2025.