Individual provider · Type 1 NPI

Wendy Mariko Awa, APRN

Adult Health Nurse Practitioner · Bridgeport, CT

NPI number 1770090789 Active

Practice location

2800 Main St
Bridgeport, CT 06606-4201

Fax (475) 210-6146

Mailing address

1290 Silas Deane Hwy
Wethersfield, CT 06109-4337

Other practice locations

  • 267 Grant St, Bridgeport, CT 06610-2805 · (203) 384-3000

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X106481 (CT)
Adult Health Nurse Practitioner Primary 363LA2200X7420 (CT)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1770090789

Wendy Mariko Awa, APRN's National Provider Identifier is 1770090789, issued on Dec 29, 2017. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Bridgeport, CT. The record was last updated on Apr 7, 2022.