Individual
PAULINE PATRICIA WILKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
1504 SULLIVAN AVE, SOUTH WINDSOR, CT 06074-2711
(860) 432-8400
(860) 432-8430
Mailing address
1504 SULLIVAN AVE, SOUTH WINDSOR, CT 06074-2711
(860) 432-8400
(860) 432-8430
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12.007907
CT
Other
Enumeration date
10/26/2018
Last updated
06/21/2021
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