KERRY PETRELLO


Address: 64 Robbins St, Waterbury, CT 06708
Phone: 2035736232

KERRY PETRELLO (NPI# 1578041430) 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) 1578041430
Entity Type Individual
Full Name KERRY PETRELLO
Practice Address 64 Robbins St
Waterbury
CT 06708
Mailing Address 64 Robbins St
Waterbury
CT 06708-2613
Practice Telephone 2035736232
Practice Fax Number 2035736030
Enumeration Date 2018-08-02
Last Update Date 2018-10-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 69413 CT Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
7838 CT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 64 ROBBINS ST
City WATERBURY
State CT
Zip Code 06708

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598755753 Robert E Murray IIi Emergency Medicine 64 Robbins St, Waterbury, CT 06708-2613 2005-10-27
1306456116 Christine Zarrella Cipriani Registered Nurse 64 Robbins St, Waterbury, CT 06708-2600 2020-08-06
1386261949 Dorothy Sliwonik Nurse Anesthetist, Certified Registered 64 Robbins St, Waterbury, CT 06708-2613 2020-06-30
1154951341 Christina Devi Drelichowski Emergency Medicine 64 Robbins St, Waterbury, CT 06708-2600 2020-01-16
1356818421 Olanike Oyeyemi Idowu Nurse Practitioner 64 Robbins St, Waterbury, CT 06708-2613 2018-10-26
1881172500 Elizabeth Ann Lawton Nurse Practitioner 64 Robbins St, Waterbury, CT 06708-2613 2018-08-03
1245721091 Eric M Mukherjee Student in an Organized Health Care Education/Training Program 64 Robbins St, Waterbury, CT 06708-2613 2018-05-27
1225528870 Stephanie Lauren Gunpat Nurse Practitioner 64 Robbins St, Waterbury, CT 06708-2613 2018-05-18
1265921399 Andrea Lynne Grammatico Physician Assistant 64 Robbins St, Waterbury, CT 06708-2613 2018-05-03
1093213746 Chantel Starr Pinney Nurse Anesthetist, Certified Registered 64 Robbins St, Waterbury, CT 06708-2613 2018-01-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952864787 Sidhant Singh Student in an Organized Health Care Education/Training Program Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 2019-04-09
1023574753 Santa Maria & Schneider D.m.d Waterbury LLC Dentist 276 Highland Ave., Waterbury, CT 06708 2019-02-19
1548766959 Caroline Johnssen Student in an Organized Health Care Education/Training Program Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 2018-04-04
1992209530 Valley Wellness Consulting Group LLC Social Worker 969 W Main Street, Suite 3e, Waterbury, CT 06708 2018-03-20
1306346457 C&s Family Dental Waterbury, LLC Dentist 1630 Watertown Ave, Waterbury, CT 06708 2018-02-15
1447759865 Inurse Homecare, LLC. Home Health 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 2018-02-12
1619423977 Robert Girard II Counselor 969 West Main Street, Suite 1 D, Waterbury, CT 06708 2016-08-28
1457734360 Alternatives, Inc. Intermediate Care Facility, Mentally Retarded 148 Highview St, Waterbury, CT 06708 2015-07-09
1407266901 Maria Munoz Obstetrics & Gynecology 140 Grandview Ave Ste 202, Waterbury, CT 06708 2014-05-06
1922420330 Danielle Moraes Social Worker 276 Highland Av 2nd Fl North, Waterbury, CT 06708 2014-01-21
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316559248 Agape Family Medical Center LLC Nurse Practitioner 1078 W Main St Ste 3, Waterbury, CT 06708-2651 2020-08-21
1508375080 Christina Audet Solomito Nurse Practitioner 133 Scovill St Ste 306, Waterbury, CT 06706-1127 2017-09-27
1558886671 Macaela Cirish Nurse Practitioner 3801 East Main Street, Second Floor, Waterbury, CT 06705 2017-08-09
1609323070 Laila Jones Nurse Practitioner 170 Grandview Ave Ste 1, Waterbury, CT 06708-2577 2016-09-02
1124484357 Melanie M.f. Nesprido Nurse Practitioner 60 Westwood Ave Ste 100, Waterbury, CT 06708-2460 2016-01-04
1447651690 Matthew L Balanda Nurse Practitioner 1389 W Main St Ste 205, Waterbury, CT 06708-3115 2014-09-08
1831523638 Eileen Anne Knox Nurse Practitioner 1253 W Main St, Waterbury, CT 06702-1418 2013-08-28
1033414867 Steven Paul Jeske Nurse Practitioner 276 Highland Ave Ste A2, Waterbury, CT 06708 2011-01-26
1982853263 Leah Lucarelli Nurse Practitioner 80 Phoenix Ave Ste 101, Waterbury, CT 06702-1418 2008-09-11
1891836110 Michelle Lynn Kennedy Nurse Practitioner 51 N Elm St, Waterbury, CT 06702-1511 2007-02-09
Find all providers in WATERBURY

Competitor

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City WATERBURY
Zip Code 06708

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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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