Provider Demographics
NPI:1104701507
Name:PIRRO, KAITLIN (APRN)
Entity type:Individual
Prefix:
First Name:KAITLIN
Middle Name:
Last Name:PIRRO
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 1:51 WEEPING WILLOW LN
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06825-1060
Mailing Address - Country:US
Mailing Address - Phone:570-249-4749
Mailing Address - Fax:
Practice Address - Street 1:51 WEEPING WILLOW LN
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06825-1060
Practice Address - Country:US
Practice Address - Phone:570-249-4749
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT12.014996363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health