Active NPIIndividual provider

Wendy M Awa, APRN

Nurse Practitioner, Adult Health in Bridgeport, Connecticut

NPI Number1770090789
Practice location
2800 Main St, Bridgeport, CT 06606-4201
Fax
475-210-6146
Last updated
April 7, 2022

Wendy Mariko Awa is a Nurse Practitioner, Adult Health based in Bridgeport, CT. Wendy Mariko Awa practices in Bridgeport, CT and has the professional credentials of APRN. The NPI Number for Wendy Mariko Awa is 1770090789 and holds a License No. 106481 (CT). The current practice location address for Wendy Mariko Awa is 2800 Main St, Bridgeport, CT 06606-4201 and can be reached out via phone at 475-210-6177 and via fax at 475-210-6146.

Provider Profile Details

NPI Number
1770090789
Provider Name
Wendy Mariko Awa
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
2800 Main St, Bridgeport, CT 06606-4201
Phone Number
475-210-6177
Fax Number
475-210-6146
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Provider Enumeration Date
December 29, 2017
Last Update Date
April 7, 2022
Certification Date
April 7, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
2800 Main St
Bridgeport, CT 06606-4201
Zip
06606-4201
Phone Number
475-210-6177
Fax Number
475-210-6146
Bridgeport, CT 06606Get directions →

Provider Business Mailing Address Details

Address
1290 Silas Deane Hwy
Wethersfield, CT 06109-4337
City
Wethersfield
State
CT
Zip
06109-4337
Phone Number
475-210-6177

License Information

License Number (1)
106481
License State (1)
CT
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
7420
License State (2)
CT
Taxonomy (2)
Nurse Practitioner, Adult Health · 363LA2200X · 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 Wendy M Awa, APRN?

The NPI number of Wendy M Awa, APRN is 1770090789. It was assigned on December 29, 2017 and is currently active in the NPPES registry.

What is the specialty of Wendy M Awa, APRN?

Wendy M Awa, APRN is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in CT under license number 106481.

Where does Wendy M Awa, APRN practice?

The practice location is 2800 Main St, Bridgeport, CT 06606-4201. The office can be reached at 475-210-6177 (phone) or 475-210-6146 (fax).

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 1770090789 directly on the NPPES registry website.

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