GINA KOLSTAD


Address: 279 Quarry Rd # 2, Glastonbury, CT 06033-3406
Phone: 8606387299

GINA KOLSTAD (NPI# 1518565399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518565399
Entity Type Individual
Full Name GINA KOLSTAD
Credential APRN
Practice Address 279 Quarry Rd # 2
Glastonbury
CT 06033-3406
Mailing Address Po Box 269
East Glastonbury
CT 06025-0269
Practice Telephone 8606387299
Mailing Telephone 8606387299
Enumeration Date 2020-10-13
Last Update Date 2020-10-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
9250 CT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 279 QUARRY RD # 2
City GLASTONBURY
State CT
Zip Code 06033-3406

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477010288 Helena Owusu Morris Nurse Practitioner 10 Hollis Lndg, Glastonbury, CT 06033-3856 2019-02-28
1215485537 Teryn Andy Aprn LLC Nurse Practitioner 1212 Main St, Glastonbury, CT 06033-3124 2016-09-15
1346627908 Barbara Lillibridge Nurse Practitioner 55 Nye Rd, Suite 102, Glastonbury, CT 06033-1281 2015-05-04
1568694669 Karen Michelle Freed Nurse Practitioner 300 Hebron Ave, Suite 107, Glastonbury, CT 06033-2176 2009-08-23
1912076613 Joan Lazar Nurse Practitioner 55 Nye Rd, Suite 102, Glastonbury, CT 06033-1281 2006-11-07
1982638375 Victoria Bourque Nurse Practitioner 55 Nye Rd, Suite 102, Glastonbury, CT 06033-1281 2006-07-10
1235174590 Sue Smolski Nurse Practitioner 55 Nye Rd, Suite 102, Glastonbury, CT 06033-1281 2006-06-19

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Competitor

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City GLASTONBURY
Zip Code 06033

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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