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Nicole A. Wizeman, PA-C
Surgical Physician Assistant in Manchester, Connecticut
NPI 1134511595

Nicole A. Wizeman is a Surgical Physician Assistant based in Manchester, CT and is specialized in Surgical. Nicole A. Wizeman practices in Manchester, CT and has the professional credentials of PA-C. The NPI Number for Nicole A. Wizeman is 1134511595 and holds a License No. 3298 (Connecticut).

The current practice location address for Nicole A. Wizeman is 71 Haynes St, Manchester, CT and can be reached out via phone at 860-533-6595 and via fax at 860-533-6594. You can also correspond with Nicole A. Wizeman through the mailing address at 71 HAYNES ST, MANCHESTER, CT - 06040-4131 (mailing address contact number: ).

Location: 71 Haynes St, Manchester, CT, 06040-4131
person
Provider Profile Details
NPI Number
1134511595
Provider Name
Nicole A. Wizeman
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
71 Haynes St, Manchester, CT, 06040-4131
Phone Number
860-533-6595
Fax Number
860-533-6594
Provider Enumeration Date
02/23/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4686907 01 CT AETNA
institution
Provider Business Practice Location Address Details
Address
71 Haynes St
City
State
Zip
06040-4131
Phone Number
860-533-6595
Fax Number
860-533-6594
person
Provider Business Mailing Address Details
Address
71 Haynes St
City
State
Zip
06040-4131
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
3298 (Connecticut)
Definition
Definition to come...
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