Healthcare Provider Details

I. General information

NPI: 1467006858
Provider Name (Legal Business Name): KIMBERLY D. PARROW APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2019
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 MAIN ST
TRUMBULL CT
06611-4710
US

IV. Provider business mailing address

175 CAPITAL BLVD FL 3
ROCKY HILL CT
06067-3914
US

V. Phone/Fax

Practice location:
  • Phone: 203-374-0404
  • Fax:
Mailing address:
  • Phone: 860-678-3400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number8614
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN232362
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: