Basic Information
| Provider Information | |||||||||
| NPI: | 1043735293 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ELEK | ||||||||
| FirstName: | KRISTIN | ||||||||
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| Credential: | APRN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 99 BOOK HILL RD | ||||||||
| Address2: | |||||||||
| City: | ESSEX | ||||||||
| State: | CT | ||||||||
| PostalCode: | 064261322 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2036715726 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1260 SILAS DEANE HWY STE 106 | ||||||||
| Address2: | |||||||||
| City: | WETHERSFIELD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 061094363 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8602583477 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/09/2017 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 7154 | CT | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.