Prince, Kerisha S

Prince, Kerisha S is an individual health care provider with primary practice located at 1022 Farmington Ave , West Hartford CT 06107-2105. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Prince, Kerisha S can be contacted via phone (860) 521-8035.

Contact Information

Primary practice address
1022 Farmington Ave West Hartford CT 06107-2105
Phone: (860) 521-8035
Fax: (860) 521-8036
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 153956 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 011413 Connecticut

Profile Details

NPI number 1861107591
LBN Legal business name Prince, Kerisha S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2023
Last updated Jul 31st, 2024 - about 2 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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