MEDICARE: KRISTINA MARIE VETTER RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	181411	CT

General Provider Information

NPI Number	:	1467384784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTINA MARIE VETTER RN

Provider Business Mailing Address
First Line	:	401 MONROE TPKE STE 16
Second Line	:
City	:	MONROE
State	:	CT
Zip	:	06468-2278
Country	:	US
Telephone Number	:	203-452-1063
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 MONROE TPKE STE 16
Second Line	:
City	:	MONROE
State	:	CT
Zip	:	06468-2278
Country	:	US
Telephone Number	:	203-452-1063
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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Directions to “ KRISTINA MARIE VETTER RN” Practice Location

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