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Contact Information

HEATHER L WILSON, APRN
85 SEYMOUR ST
SUITE 900
HARTFORD, CT06106-5501
 Phone: 860-241-0700
 Fax: 860-525-7881
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for HEATHER L WILSON · (Female)

NPI # 1255625216
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 06/07/2011
Last updated 02/09/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 004730
  • CT Medicaid 004047304
Hospital affiliation(s)
  • MIDSTATE MEDICAL CENTER - (Acute Care)
    435 LEWIS AVE
    MERIDEN, CT 06450
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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