Mehta, Kristin D

Mehta, Kristin D is an individual health care provider with primary practice located at 208 Valley Rd , New Canaan CT 06840-3812. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mehta, Kristin D can be contacted via phone (866) 542-4455.

Contact Information

Primary practice address
208 Valley Rd New Canaan CT 06840-3812
Phone: (866) 542-4455
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 7564 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 8730 Connecticut

Profile Details

NPI number 1760916761
LBN Legal business name Mehta, Kristin D
Credentials AGPCNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2017
Last updated Aug 21st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760916761 NPPES
Wisconsin MEDICAID 1760916761
Wisconsin Other K400387628

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