Individual
PAMELA MARIE WERTHEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
120 SEA LN, OLD SAYBROOK, CT 06475-1954
(860) 463-5615
Mailing address
120 SEA LN, OLD SAYBROOK, CT 06475-1954
(860) 463-5615
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
006818
CT
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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