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

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X15418 (CT)

Pediatric Nurse Practitioner: Definition to come...

3 other providers at this address

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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.