Active NPIIndividual provider

Mrs. Petra J Wilson, NP

Nurse Practitioner, Family in Milford, Connecticut

NPI Number1164992939
Practice location
256 Seaside Ave, Milford, CT 06460-4602
Fax
—
Last updated
November 13, 2019

Petra Jeanne Wilson is a Nurse Practitioner, Family based in Milford, CT. Petra Jeanne Wilson practices in Milford, CT and has the professional credentials of NP. The NPI Number for Petra Jeanne Wilson is 1164992939 and holds a License No. 7993 (CT). The current practice location address for Petra Jeanne Wilson is 256 Seaside Ave, Milford, CT 06460-4602 and can be reached out via phone at 475-882-6824.

Provider Profile Details

NPI Number
1164992939
Provider Name
Petra Jeanne Wilson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
256 Seaside Ave, Milford, CT 06460-4602
Phone Number
475-882-6824
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
December 5, 2018
Last Update Date
November 13, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
256 Seaside Ave
Milford, CT 06460-4602
Zip
06460-4602
Phone Number
475-882-6824
Milford, CT 06460Get directions →

Provider Business Mailing Address Details

Address
865 Daniels Farm RD
Trumbull, CT 06611-2601
City
Trumbull
State
CT
Zip
06611-2601
Phone Number
717-718-5778

License Information

License Number
7993
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 Mrs. Petra J Wilson, NP?

The NPI number of Mrs. Petra J Wilson, NP is 1164992939. It was assigned on December 5, 2018 and is currently active in the NPPES registry.

What is the specialty of Mrs. Petra J Wilson, NP?

Mrs. Petra J Wilson, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 7993.

Where does Mrs. Petra J Wilson, NP practice?

The practice location is 256 Seaside Ave, Milford, CT 06460-4602. The office can be reached at 475-882-6824 (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 1164992939 directly on the NPPES registry website.

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