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1053132571 NPI number — KAITLYN ELIZABETH FLYNN FNP-C

NPI Number: 1053132571
Health Care Provider/Practitioner: KAITLYN ELIZABETH FLYNN FNP-C

Information about “1053132571” NPI (KAITLYN ELIZABETH FLYNN FNP-C) exists in 1053132571 in HTML format HTML  |  1053132571 in plain Text format TXT  |  1053132571 in PDF (Portable Document Format) PDF  |  1053132571 in an XML format XML  formats.

NPI Number : 1053132571 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053132571",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FLYNN",
    "FirstName": "KAITLYN",
    "MiddleName": "ELIZABETH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP-C",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "85 STAFFORDSHIRE COMMONS DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WALLINGFORD",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06492-1757",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "203-980-1269",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "863 N MAIN STREET EXT STE 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WALLINGFORD",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06492-2434",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-269-3791",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/17/2024",
    "LastUpdateDate": "09/25/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "12.014027",
        "LicenseNumberStateCode": "CT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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