Active NPIIndividual provider

Marykay B Wegman, APRN

Nurse Practitioner, Family in Stratford, Connecticut

NPI Number1629069257
Practice location
2184 Main St, Stratford, CT 06615-5937
Fax
—
Last updated
June 5, 2014

Marykay Bauer Wegman is a Nurse Practitioner, Family based in Stratford, CT. Marykay Bauer Wegman practices in Stratford, CT and has the professional credentials of APRN. The NPI Number for Marykay Bauer Wegman is 1629069257 and holds a License No. VP006124B (PA). The current practice location address for Marykay Bauer Wegman is 2184 Main St, Stratford, CT 06615-5937 and can be reached out via phone at 203-378-9002.

Provider Profile Details

NPI Number
1629069257
Provider Name
Marykay Bauer Wegman
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
2184 Main St, Stratford, CT 06615-5937
Phone Number
203-378-9002
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
November 2, 2005
Last Update Date
June 5, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
2184 Main St
Stratford, CT 06615-5937
Zip
06615-5937
Phone Number
203-378-9002
Stratford, CT 06615Get directions →

Provider Business Mailing Address Details

Address
687 Heritage Hill RD
Orange, CT 06477-2497
City
Orange
State
CT
Zip
06477-2497
Phone Number
203-298-4114

License Information

License Number (1)
VP006124B
License State (1)
PA
Taxonomy (1)
Nurse Practitioner · 363L00000X
License Number (2)
003798
License State (2)
CT
Taxonomy (2)
Nurse Practitioner, Acute Care · 363LA2100X
License Number (3)
003798
License State (3)
CT
Taxonomy (3)
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 Marykay B Wegman, APRN?

The NPI number of Marykay B Wegman, APRN is 1629069257. It was assigned on November 2, 2005 and is currently active in the NPPES registry.

What is the specialty of Marykay B Wegman, APRN?

Marykay B Wegman, APRN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in PA under license number VP006124B.

Where does Marykay B Wegman, APRN practice?

The practice location is 2184 Main St, Stratford, CT 06615-5937. The office can be reached at 203-378-9002 (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 1629069257 directly on the NPPES registry website.

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