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Hairong Wang
Psychiatric/Mental Health Nurse Practitioner in Bristol, Connecticut
NPI 1154952794

Hairong Wang is a Psychiatric/Mental Health Nurse Practitioner based in Avon, CT and is specialized in Psychiatric/Mental Health. Hairong Wang practices in Bristol, CT. The NPI Number for Hairong Wang is 1154952794 and holds a License No. 12.008674 (Connecticut).

The current practice location address for Hairong Wang is 202 Queen St, Bristol, CT and can be reached out via phone at 860-261-5752.

Location: 202 Queen St, Bristol, CT, 06001-2239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154952794
Provider Name
Hairong Wang
Credential
Provider Entity Type
Individual
Gender
Female
Address
202 Queen St, Bristol, CT, 06001-2239
Phone Number
860-261-5752
Fax Number
Provider Enumeration Date
02/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
202 Queen St
City
Bristol
State
Connecticut
Zip
06010-5809
Phone Number
860-261-5752
Fax Number
person
Provider Business Mailing Address Details
Address
202 Queen St
City
Bristol
State
Connecticut
Zip
06010-5809
Phone Number
860-261-5752
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
12.008674 (Connecticut)
Definition
Definition to come...
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