Doctor Name: | KARIN VERNA NYSTROM |
NPI Number: | 1710978275 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 002154 |
Business Practice Address: | 40 Temple St Suite 6-c New Haven, CT - 065102715 |
Business Phone Number: | 2037854085 |
Business Fax Number: | 2037371597 |
Mailing Address: | 40 Temple St, Suite 6-c NEW HAVEN |
State: | CT |
Postal Code: | 065102715 |
Phone Number: | 2037854085 |
Fax Number: | 2037371597 |
NPI Enumeration Date: | 11/03/2005 |
NPI Last Update Date: | 03/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364S00000X |
License Number: | 002154 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |