AMBER LOCKLEAR WILDER PA-C NPI 1720858269

NPI Information

  • NPI: 1720858269
  • Provider Name: AMBER LOCKLEAR WILDER, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1450 CHAPEL ST
    NEW HAVEN, CT
    ZIP 06511
  • Phone: (203) 789-3000

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NPI Details

Amber Locklear Wilder, PA-C is a medical physician assistant in New Haven, CT with 3 years of experience. Amber Locklear Wilder, PA-C NPI is 1720858269. 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:

1450 CHAPEL ST
NEW HAVEN, CT
ZIP 06511-405
Phone: (203) 789-3000

The NPI 1720858269 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/5/2024 and was last updated on 3/15/2024.

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
12084P0800XPsychiatry & NeurologyPsychiatry6483CONNECTICUTNo
2363A00000XPhysician AssistantNo
3363AM0700XPhysician AssistantMedical6483CONNECTICUTYes

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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