NPI 1851973887 · live from the CMS NPI Registry
Kristie Andersen
Physician Assistant, Surgical in Norwich, CT. National Provider Identifier 1851973887, active.
NPI record
| NPI | 1851973887 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Surgical 363AS0400X |
| Practice location | 330 Washington St Ste 420, Norwich, CT 06360 |
| Practice phone | 860-886-0660 |
| Mailing address | 57 Prodell Rd, Preston, CT 06365 |
| Enumerated | April 28, 2021 |
| Last updated | April 28, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Surgical primary | 363AS0400X | — (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.