Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLEY LARSON ETHERIDGE, APRN/CRNA
Active Sole ProprietorDR. KELLEY LARSON ETHERIDGE, APRN/CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in GLASTONBURY, Connecticut. NPI 1821574310 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · GLASTONBURY, CT
Registration Details
- NPI Number
- 1821574310
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 17, 2018 (8.036066098658 yrs)
- Last Updated
- Apr 16, 2025
- License
-
7675 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
195 EASTERN BLVDGLASTONBURY, CT, 060334312Browse CT providers · Browse ZIP 06033
- Phone
- 8606679542
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Other Certified Nurse Anesthetist (CRNA) Providers in GLASTONBURY, CT
| Name | Credential | NPI |
|---|---|---|
| RAYMUND CLAUDIO JR. | — | 1417515701 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.