Healthcare Provider Details

I. General information

NPI: 1376546168
Provider Name (Legal Business Name): KARLENE A HYLTON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 02/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

464 WOLCOTT RD GERICARE, LLC
WOLCOTT CT
06716-2626
US

IV. Provider business mailing address

28 AUDUBON LN
SHELTON CT
06484-4366
US

V. Phone/Fax

Practice location:
  • Phone: 203-633-4560
  • Fax: 203-926-0594
Mailing address:
  • Phone: 203-992-1679
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number003137
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: