Individual provider · Type 1 NPI
Kellie Buccetti
Acute Care Nurse Practitioner · Hartford, CT
NPI number
1114774155
Active
Practice location
80 Seymour St
Hartford, CT 06106-3315
Mailing address
5 Susan Dr
Wallingford, CT 06492-1939
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 13699 (CT) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1114774155
Kellie Buccetti's National Provider Identifier is 1114774155, issued on May 6, 2024. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Hartford, CT. The record was last updated on Aug 15, 2024.