Individual provider · Type 1 NPI
Carmen Kokkoros
Pediatric Nurse Practitioner · Riverside, CT
NPI number
1013884832
Active
Practice location
1171 E Putnam Ave Ste 2B
Riverside, CT 06878-1426
Mailing address
148 Lazy Brook Rd
Monroe, CT 06468-3316
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 15418 (CT) |
Pediatric Nurse Practitioner: Definition to come...
3 other providers at this address
Other pediatric nurse practitioner providers in Riverside
About NPI 1013884832
Carmen Kokkoros's National Provider Identifier is 1013884832, issued on Oct 17, 2025. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Riverside, CT. The record was last updated on Oct 17, 2025.