Individual provider · Type 1 NPI

Theresa Eileen Wild, RN

Adult Psychiatric/Mental Health Registered Nurse · Bristol, CT

NPI number 1285853101 Active

Practice location

440 N Main St # C
Bristol, CT 06010-4990

Call (860) 583-5858 Map

Fax (860) 584-9962

Mailing address

PO Box 1280
Bristol, CT 06011-1280

Specialties and licenses

Taxonomy	Code	License
Adult Psychiatric/Mental Health Registered Nurse Primary	163WP0809X	E57029 (CT)

Adult Psychiatric/Mental Health Registered Nurse: Definition to come...

2 other providers at this address

Catholic Charities, Inc. - Archdiocese of HartfordMental Health Clinic/Center (Including Community Mental Health Center) Bristol, CT NPI 1891889184
Rebecca Colasanto, LCSWClinical Social Worker Bristol, CT NPI 1447478656

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About NPI 1285853101

Theresa Eileen Wild, RN's National Provider Identifier is 1285853101, issued on Apr 25, 2007. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Bristol, CT. The record was last updated on Jul 8, 2007.