Active NPIIndividual provider

Ms. Sandra J Kissel, APRN

Nurse Practitioner, Psych/Mental Health in Canton, Connecticut

NPI Number1811347305
Practice location
126 Dowd Ave, Canton, CT 06019-2400
Fax
860-693-0141
Last updated
June 15, 2016

Sandra Jean Kissel is a Nurse Practitioner, Psych/Mental Health based in Canton, CT. Sandra Jean Kissel practices in Canton, CT and has the professional credentials of APRN. The NPI Number for Sandra Jean Kissel is 1811347305 and holds a License No. 12.006552 (CT). The current practice location address for Sandra Jean Kissel is 126 Dowd Ave, Canton, CT 06019-2400 and can be reached out via phone at 860-693-8809 and via fax at 860-693-0141.

Provider Profile Details

NPI Number
1811347305
Provider Name
Sandra Jean Kissel
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
126 Dowd Ave, Canton, CT 06019-2400
Phone Number
860-693-8809
Fax Number
860-693-0141
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
June 15, 2016
Last Update Date
June 15, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
126 Dowd Ave
Canton, CT 06019-2400
City
Canton
Zip
06019-2400
Phone Number
860-693-8809
Fax Number
860-693-0141
Canton, CT 06019Get directions →

Provider Business Mailing Address Details

Address
126 Dowd Ave
Po Box 452
Canton, CT 06019-2400
City
Canton
State
CT
Zip
06019-2400
Phone Number
860-693-8809
Fax Number
860-693-0141

License Information

License Number
12.006552
License State
CT
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Sandra J Kissel, APRN?

The NPI number of Ms. Sandra J Kissel, APRN is 1811347305. It was assigned on June 15, 2016 and is currently active in the NPPES registry.

What is the specialty of Ms. Sandra J Kissel, APRN?

Ms. Sandra J Kissel, APRN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 12.006552.

Where does Ms. Sandra J Kissel, APRN practice?

The practice location is 126 Dowd Ave, Canton, CT 06019-2400. The office can be reached at 860-693-8809 (phone) or 860-693-0141 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811347305 directly on the NPPES registry website.

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