Individual provider · Type 1 NPI

Kierra Forstell

Student in an Organized Health Care Education/Training Program · Willimantic, CT

NPI number 1083160063 Active

Practice location

433 Valley St
Willimantic, CT 06226-1901

Fax (860) 456-1683

Mailing address

995 Day Hill Rd
Windsor, CT 06095-1722

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083160063

Kierra Forstell's National Provider Identifier is 1083160063, issued on Aug 30, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Willimantic, CT. The record was last updated on Aug 30, 2016.