TERELL WILLARD NPI 1225893993

NPI Information

  • NPI: 1225893993
  • Provider Name: TERELL WILLARD
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • Address: 1 WAHOO AVE
    GROTON, CT
    ZIP 06349
  • Phone: (860) 694-3743

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NPI Details

Terell Willard is a general practice in Groton, CT. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Terell Willard NPI is 1225893993. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 WAHOO AVE
GROTON, CT
ZIP 06349-324
Phone: (860) 694-3743

The enumeration date for this NPI number is 2/20/2024 and was last updated on 11/18/2025.

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
1171000000XMilitary Health Care ProviderNo
2208D00000XGeneral Practice0101286727VIRGINIAYes

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

NPI Synchronization or Removal

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