NPI 1003611013

Kentrone Vines, AGACNPBC

Practitioner Acute Care Nurse Practitioner New Haven, CT

Practice location

Address: 20 York St, New Haven, CT 06510-3220
Phone: (203) 688-4242
Mailing address: 351 Kettletown Rd, Southbury, CT 06488-2637

Registered specialties

Acute Care Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LA2100X Licence 14470 (CT)

Other Nurse Practitioner providers in Connecticut →

Registry record

NPI: 1003611013
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Feb 2025
Record last updated: 14 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.