Theresa Eileen Wild in Bristol - Psychiatric/mental Health, Adult
Theresa Eileen Wild - NPI 1285853101
Theresa Eileen Wild is a Psychiatric/mental Health, Adult in Bristol, Connecticut. Theresa Eileen Wild practices all healthcare services and medical treatments related to Psychiatric/mental Health, Adult. The NPI Number for Theresa Eileen Wild is 1285853101. The last update date is 2007-07-08.
Theresa Eileen Wild's current location address is Po Box 1280, Bristol, Connecticut. You can contact this provider via phone number 8605835858 and fax number 8605849962. The mailing address for Theresa Eileen Wild is Po Box 1280, Bristol, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa Eileen Wild |
|---|---|
| Address | Po Box 1280, Bristol, Connecticut |
| Phone Number | 8605835858 |
| Fax Number | 8605849962 |
| Sole Proprietor | N |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1285853101 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 1280 |
|---|---|
| City | Bristol |
| State | Connecticut (CT) |
| Post Code | 60111280 |
| Phone Number | 8605835858 |
| Fax Number | 8605849962 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health, Adult |
|---|---|
| Taxonomy | 163Wp0809X |
| Licence No | E57029 |
|
Definition: A psychiatric nurse who cares for adult patients. |
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Post Comment/ Review Below
What is the Theresa Eileen Wild's unique identification number?
The Theresa Eileen Wild has been assigned the NPI (National Provider Identifier) Number 1285853101 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Theresa Eileen Wild's physical address?
The Theresa Eileen Wild is physically located at Po Box 1280, in the city of Bristol, CT, with the postal code 60111280.
What is Theresa Eileen Wild's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Theresa Eileen Wild is Psychiatric/mental Health, Adult, and the taxonomy code that classifies this field of practice is 163Wp0809X.
On what date did the Centers for Medicare & Medicaid Services issue the 1285853101 to Theresa Eileen Wild?
The Theresa Eileen Wild received its 1285853101 assignment from the Centers for Medicare & Medicaid Services on 2007-04-25.
As of what date was the information regarding Theresa Eileen Wild, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Theresa Eileen Wild, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.