Individual provider · Type 1 NPI
Collette Keise
Family Nurse Practitioner · South Windsor, CT
NPI number
1508295262
Active
Practice location
38 Carson Way
South Windsor, CT 06074-1847
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 5596 (CT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1508295262
Collette Keise's National Provider Identifier is 1508295262, issued on Nov 4, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in South Windsor, CT. The record was last updated on Nov 4, 2013.