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Individual

PATRICE M WILHELM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
6 WOODLAND RD UNIT 3B, MADISON, CT 06443-2685
(203) 350-2030
(478) 202-9615
Mailing address
25 ARROWHEAD LN, BRANFORD, CT 06405-3905
(203) 214-1242
(203) 737-1077

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
002983
CT
363LF0000X
Family Nurse Practitioner
Primary
002983
CT
363LP2300X
Primary Care Nurse Practitioner
002983
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004249159
CT
Enumeration date
11/29/2005
Last updated
06/14/2023
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