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Contact Information

GRACE KELLEY, CRNA, APRN
140 GRANDVIEW AVE
WATERBURY, CT06708-2505
 Phone: 203-757-7000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for GRACE KELLEY · (Female)

NPI # 1285839282
Status Active
Credentials CRNA, APRN
Entity Individual
Enumeration date 06/19/2007
Last updated 08/07/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 003750
  • CT License # E57685
  • CT Other E57685 RN LICENCES
Hospital affiliation(s)
  • WATERBURY HOSPITAL - (Acute Care)
    64 ROBBINS ST
    WATERBURY, CT 06721
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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