Individual
MRS. BONNIE JEANNE WAGMEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
250 FLAT ROCK PL, WESTBROOK, CT 06498-3585
(860) 358-3700
Mailing address
280 W ELM ST, DEEP RIVER, CT 06417-1617
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
183414
CT
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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