Individual provider · Type 1 NPI

Kelly Theresa Tobin

Psychiatric/Mental Health Nurse Practitioner · Enfield, CT

NPI number 1164072062 Active

Practice location

153 Hazard Ave
Enfield, CT 06082-4592

Mailing address

2 Waterside Xing Ste 401
Windsor, CT 06095-1587

Other practice locations

  • 35 Madsen Rd, West Hartford, CT 06110-2504 · (860) 305-3225
  • 1491 Main St, Willimantic, CT 06226-1914 · (860) 456-3215

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X084503 (CT)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X009549 (CT)

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

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About NPI 1164072062

Kelly Theresa Tobin's National Provider Identifier is 1164072062, issued on Sep 13, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Enfield, CT. The record was last updated on Mar 2, 2021.