Provider Demographics
NPI:1780348151
Name:TRILLO, KELSIE EILEEN (MSN-APRN-FNP-BC)
Entity type:Individual
Prefix:
First Name:KELSIE
Middle Name:EILEEN
Last Name:TRILLO
Suffix:
Gender:F
Credentials:MSN-APRN-FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 PHEASANT LN
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-3843
Mailing Address - Country:US
Mailing Address - Phone:203-709-0541
Mailing Address - Fax:
Practice Address - Street 1:500 W PUTNAM AVE STE 110
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-6079
Practice Address - Country:US
Practice Address - Phone:203-422-7250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-22
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT10238363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily