Individual
WENDY GACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1000 ASYLUM AVENUE, SUITE 2109A, HARFORD, CT 06105
(860) 714-5058
(860) 714-8311
Mailing address
114 WOODLAND STREET, DEPT OF SURGERY, HARTFORD, CT 06105
(860) 714-4694
(860) 714-8096
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4436
CT
363LA2100X
Acute Care Nurse Practitioner
4436
CT
363LP2300X
Primary Care Nurse Practitioner
Primary
4436
CT
Other
Enumeration date
02/01/2012
Last updated
03/01/2012
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