Theresa Eileen Wild RN

NPI 1285853101 - Registered Nurse - 163WP0809X

NPI Details
NPI 1285853101
Gender Female
Enumeration Date 04/25/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
440 N MAIN ST # C
BRISTOL CT, 06010-4990, US
Phone (860) 583-5858
Fax (860) 584-9962
Business Location
PO BOX 1280
BRISTOL CT, 06011-1280, US
Phone (860) 583-5858
Fax (860) 584-9962
Toxanomy
Taxonomy Code 163WP0809X
License State Connecticut
License Number E57029
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According to our database, Miss Theresa Eileen Wild RN NPI is 1285853101, taxonomy code is 163WP0809X and license number is E57029, license state is located at Connecticut. Theresa Eileen Wild RN physically located at 440 N Main St # C, Bristol CT, 06010-4990. NPI Number Theresa Eileen Wild RN has the Individual type.

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1285853101 NPI number is provided on an as is basis without warranty of any kind. 1285853101 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Eileen Wild RN are for informational purposes only.