Individual
NICOLE MARILYN WAGSCHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN APRN
Contact information
Practice address
3514 MAIN ST, CVS- MINUTE CLINIC, COVENTRY, CT 06238-1551
(866) 389-2727
Mailing address
150 BALAZS RD, WILLINGTON, CT 06279-2401
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
005423
CT
Other
Enumeration date
06/28/2007
Last updated
10/29/2013
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