Individual provider · Type 1 NPI
Ellen Louise Wilson, RN, CCM
Case Management Registered Nurse · Dayville, CT
NPI number
1255006797
Active
Practice location
620 Chestnut Hill Rd
Dayville, CT 06241
Mailing address
PO Box 792, 620 Chestnut Hill Rd
Dayville, CT 06241
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 081384 (CT) |
| Home Health Registered Nurse | 163WH0200X | 081384 (CT) |
| Case Management Registered Nurse Primary | 163WC0400X | 081384 (CT) |
Case Management Registered Nurse: Definition to come...
About NPI 1255006797
Ellen Louise Wilson, RN, CCM's National Provider Identifier is 1255006797, issued on Aug 16, 2021. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Dayville, CT. The record was last updated on Aug 16, 2021.