Individual
MS. LAURA ANN TIPPING WILHELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
675 TOWNSEND AVE, NEW HAVEN, CT 06512-3101
(203) 507-2182
Mailing address
675 TOWNSEND AVE, NEW HAVEN, CT 06512-3101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
004589
CT
363LA2200X
Adult Health Nurse Practitioner
Primary
004589
CT
363LA2200X
Adult Health Nurse Practitioner
F305505
NY
Other
Enumeration date
03/02/2011
Last updated
02/10/2012
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