Individual
HEATHER LYNNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
85 SEYMOUR ST, SUITE 900, HARTFORD, CT 06106-5501
(860) 241-0700
(860) 525-7881
Mailing address
2110 SILAS DEANE HWY, ROCKY HILL, CT 06067-2313
(860) 258-3470
(860) 571-6800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
004730
CT
363LA2100X
Acute Care Nurse Practitioner
004730
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004047304
—
CT
Enumeration date
06/07/2011
Last updated
02/09/2015
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