Individual provider · Type 1 NPI
Mary Boss Withey, APRN
Family Nurse Practitioner · North Windham, CT
NPI number
1255768628
Active
Practice location
141 Tuckie Rd
North Windham, CT 06256-1317
Mailing address
112 Mansfield Ave
Willimantic, CT 06226-2045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 001190 (CT) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1255768628
Mary Boss Withey, APRN's National Provider Identifier is 1255768628, issued on Oct 1, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in North Windham, CT. The record was last updated on Oct 1, 2013.