Organization · Type 2 NPI
Windham Urology Group, PC
Adult Health Nurse Practitioner · Willimantic, CT
NPI number
1407126782
Active
Practice location
24 Windham St
Willimantic, CT 06226-2216
Fax (860) 423-2122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | None listed |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1407126782
Windham Urology Group, PC's National Provider Identifier is 1407126782, issued on Jan 4, 2012. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Willimantic, CT. The record was last updated on Jan 4, 2012.