Individual
ANN ELISA WRATCHFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1057 POQUONNOCK RD, SUITE 1, GROTON, CT 06340-6630
(860) 326-5597
(860) 326-5362
Mailing address
51 STARWOOD TRL, COLCHESTER, CT 06415-1868
(860) 319-1444
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R55783
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
003947
CT
Other
Enumeration date
10/30/2006
Last updated
03/04/2013
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