Individual
MRS. HEATHER MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, MA
Contact information
Practice address
1678 ASYLUM AVE, WEST HARTFORD, CT 06117-2764
(860) 232-4571
Mailing address
1678 ASYLUM AVE, WEST HARTFORD, CT 06117-2764
(860) 232-4571
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN2317187
MA
Other
Enumeration date
09/29/2017
Last updated
09/29/2017
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