KELLY THERESA TOBIN NPI 1164072062

NPI Information

NPI: 1164072062
Provider Name: KELLY THERESA TOBIN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
153 HAZARD AVE
ENFIELD, CT
ZIP 06082
Phone: (860) 253-5020
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Kelly Theresa Tobin is a psychiatric/mental health nurse practitioner in Enfield, CT. Kelly Theresa Tobin NPI is 1164072062. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

153 HAZARD AVE
ENFIELD, CT
ZIP 06082-592
Phone: (860) 253-5020

The enumeration date for this NPI number is 9/13/2019 and was last updated on 3/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		084503	CONNECTICUT	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	009549	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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