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Individual

MRS. COLLEEN MARY WILCOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
385 W MAIN ST, AVON, CT 06001-4357
(860) 777-1280
Mailing address
385 W MAIN ST, AVON, CT 06001-4357

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LG-0013699
DE
363LF0000X
Family Nurse Practitioner
11214
CT

Other

Enumeration date
02/13/2023
Last updated
05/08/2026
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