Provider Demographics
NPI:1376546168
Name:HYLTON, KARLENE A (APRN)
Entity Type:Individual
Prefix:
First Name:KARLENE
Middle Name:A
Last Name:HYLTON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 AUDUBON LN
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-4366
Mailing Address - Country:US
Mailing Address - Phone:203-992-1679
Mailing Address - Fax:
Practice Address - Street 1:464 WOLCOTT RD
Practice Address - Street 2:GERICARE, LLC
Practice Address - City:WOLCOTT
Practice Address - State:CT
Practice Address - Zip Code:06716-2626
Practice Address - Country:US
Practice Address - Phone:203-633-4560
Practice Address - Fax:203-926-0594
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2014-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003137363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004248284Medicaid
CT500001413Medicare ID - Type Unspecified
CT004248284Medicaid