PAULINE PATRICIA WILKS APRN FNP-BC NPI 1861969966

NPI Information

NPI: 1861969966
Provider Name: PAULINE PATRICIA WILKS, APRN, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1504 SULLIVAN AVE
SOUTH WINDSOR, CT
ZIP 06074
Phone: (860) 432-8400
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Pauline Patricia Wilks, APRN, FNP-BC is a family nurse practitioner in South Windsor, CT with 6 years of experience. Pauline Patricia Wilks, APRN, FNP-BC NPI is 1861969966. 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:

1504 SULLIVAN AVE
SOUTH WINDSOR, CT
ZIP 06074-711
Phone: (860) 432-8400
Fax: (860) 432-8430

The NPI 1861969966 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 10/26/2018 and was last updated on 6/21/2021.

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
1	363LF0000X	Nurse Practitioner	Family	12.007907	CONNECTICUT	Yes

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: 4/28/2024

NPI Synchronization or Removal

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