Active NPIIndividual provider

Heidi M Willard

Nurse Practitioner, Family in Griswold, Connecticut

NPI Number1073436390
Practice location
73 Juniper Ln, Griswold, CT 06351-9120
Fax
—
Last updated
August 3, 2026

Heidi Marie Willard is a Nurse Practitioner, Family based in Griswold, CT. Heidi Marie Willard practices in Griswold, CT. The NPI Number for Heidi Marie Willard is 1073436390 and holds a License No. 17958 (CT). The current practice location address for Heidi Marie Willard is 73 Juniper Ln, Griswold, CT 06351-9120 and can be reached out via phone at 860-705-0796.

Provider Profile Details

NPI Number
1073436390
Provider Name
Heidi Marie Willard
Provider Entity Type
Individual
Gender
Female
Address
73 Juniper Ln, Griswold, CT 06351-9120
Phone Number
860-705-0796
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
August 3, 2026
Last Update Date
August 3, 2026
Certification Date
August 3, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
73 Juniper Ln
Griswold, CT 06351-9120
Zip
06351-9120
Phone Number
860-705-0796
Griswold, CT 06351Get directions →

Provider Business Mailing Address Details

Address
73 Juniper Ln
Griswold, CT 06351-9120
City
Griswold
State
CT
Zip
06351-9120

License Information

License Number
17958
License State
CT
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Heidi M Willard?

The NPI number of Heidi M Willard is 1073436390. It was assigned on August 3, 2026 and is currently active in the NPPES registry.

What is the specialty of Heidi M Willard?

Heidi M Willard is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 17958.

Where does Heidi M Willard practice?

The practice location is 73 Juniper Ln, Griswold, CT 06351-9120. The office can be reached at 860-705-0796 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073436390 directly on the NPPES registry website.

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