Individual
KRISTIN WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
675 S MAIN ST, CHESHIRE, CT 06410-3153
(203) 272-1811
Mailing address
675 S MAIN ST, CHESHIRE, CT 06410-3153
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
CMW00130
RI
367A00000X
Advanced Practice Midwife
Primary
341
CT
Other
Enumeration date
02/10/2010
Last updated
05/27/2016
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