Healthcare Provider Details

I. General information

NPI: 1558882563
Provider Name (Legal Business Name): KRISTA POCHRON APRN, DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2017
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 CHURCH ST
EAST GRANBY CT
06026-9406
US

IV. Provider business mailing address

324 ELM ST STE 202B
MONROE CT
06468-2284
US

V. Phone/Fax

Practice location:
  • Phone: 860-729-2839
  • Fax:
Mailing address:
  • Phone: 203-880-5335
  • Fax: 203-907-1234

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number7059
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number7059
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: