Individual provider · Type 1 NPI

Katelyn Madeline Wirtz

Psychiatric/Mental Health Nurse Practitioner · West Haven, CT

NPI number 1083282891 Active

Practice location

285 Main St
West Haven, CT 06516-7307

Mailing address

400 Columbus Avenue, Credentialing Specialist
New Haven, CT 06519-1233

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X9910 (CT)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1083282891

Katelyn Madeline Wirtz's National Provider Identifier is 1083282891, issued on Jun 16, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in West Haven, CT. The record was last updated on Sep 16, 2021.