HEIDI MARIE WILLARD NPI 1073436390

NPI Information

  • NPI: 1073436390
  • Provider Name: HEIDI MARIE WILLARD
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 73 JUNIPER LN
    GRISWOLD, CT
    ZIP 06351
  • Phone: (860) 705-0796

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NPI Details

Heidi Marie Willard is a family nurse practitioner in Griswold, CT. Heidi Marie Willard NPI is 1073436390. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

73 JUNIPER LN
GRISWOLD, CT
ZIP 06351-120
Phone: (860) 705-0796

The enumeration date for this NPI number is 8/3/2026 and was last updated on 8/3/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily17958CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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