Theresa Eileen Wild, RN

Practice location

Address

440 N Main St # C, Bristol, CT 06010-4990

Phone

(860) 583-5858

Fax

(860) 584-9962

Mailing address

PO Box 1280, Bristol, CT 06011-1280

Registered specialties

Registry record

NPI

1285853101

Entity type

Individual

Sex (as registered)

Female

NPI issued

25 Apr 2007

Record last updated

8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.