Individual
ALIX REBECCA WILDER MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
800 HOWARD AVENUE, NEW HAVEN, CT 06519
(877) 925-3637
Mailing address
22 BERNDALE DR, WESTPORT, CT 06880
(858) 449-9037
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
147866
CT
363LF0000X
Family Nurse Practitioner
Primary
8596
CT
Other
Enumeration date
10/16/2019
Last updated
05/01/2023
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