Provider Demographics
NPI:1376399626
Name:KALRA, SANA (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:SANA
Middle Name:
Last Name:KALRA
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3380 MAIN ST # 2S
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06614-4860
Mailing Address - Country:US
Mailing Address - Phone:646-719-0345
Mailing Address - Fax:
Practice Address - Street 1:3380 MAIN ST # 2S
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06614-4860
Practice Address - Country:US
Practice Address - Phone:646-719-0345
Practice Address - Fax:646-503-7058
Is Sole Proprietor?:No
Enumeration Date:2024-04-27
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICAPRN04125363LP0808X
NY405837363LP0808X
CT13098363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health