GRACE KELLEY

WATERBURY, CT
NPI1285839282
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CT  003750)
Additional Taxonomies163W00000X Registered Nurse
(Licence: CT  E57685)
Enumeration Date2007-06-19
Last Update Date2015-08-07
Business Address
-- GRACE KELLEY CRNA, APRN
140 GRANDVIEW AVE
WATERBURY, CT 06708-2505
Phone number: 203-757-7000
Mailing Address
-- GRACE KELLEY CRNA, APRN
111 CLOCK TOWER COMMONS ROUTE 22
BREWSTER, NY 10509-4055
Phone number: 845-592-4919