person
Miss Theresa Eileen Wild, RN
Adult Psychiatric/Mental Health Registered Nurse in Bristol, Connecticut
NPI 1285853101

Theresa Eileen Wild is an Adult Psychiatric/Mental Health Registered Nurse based in Bristol, CT and is specialized in Psychiatric/Mental Health, Adult. Theresa Eileen Wild practices in Bristol, CT and has the professional credentials of RN. The NPI Number for Theresa Eileen Wild is 1285853101 and holds a License No. E57029 (Connecticut).

The current practice location address for Theresa Eileen Wild is 440 N Main St # C, Bristol, CT and can be reached out via phone at 860-583-5858 and via fax at 860-584-9962. You can also correspond with Theresa Eileen Wild through the mailing address at PO BOX 1280, BRISTOL, CT - 06011-1280 (mailing address contact number: 860-583-5858).

Location: 440 N Main St # C, Bristol, CT, 06011-1280
person
Provider Profile Details
NPI Number
1285853101
Provider Name
Theresa Eileen Wild
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
440 N Main St # C, Bristol, CT, 06011-1280
Phone Number
860-583-5858
Fax Number
860-584-9962
Provider Enumeration Date
04/25/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
440 N Main St # C
City
State
Zip
06010-4990
Phone Number
860-583-5858
Fax Number
860-584-9962
person
Provider Business Mailing Address Details
Address
440 N Main St # C
City
State
Zip
06010-4990
Phone Number
860-583-5858
Fax Number
860-584-9962
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
E57029 (Connecticut)
Definition
Definition to come...
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