Nicole Marilyn Wagschal
Nurse Practitioner - Family Medicine
3514 Main St Cvs- Minute Clinic
Coventry
, Connecticut 06238-1551
Nicole Marilyn Wagschal
Nurse Practitioner - Family Medicine
3514 Main St Cvs- Minute Clinic
Coventry
, Connecticut 06238-1551
(866) 389-2727
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Nicole Marilyn Wagschal
- 150 Balazs Rd
- Willington, CT
- Zip : 06279-2401
- Phone : (866) 389-2727
Second Address
- Nicole Marilyn Wagschal
- 3514 Main St Cvs- Minute Clinic
- Coventry, CT
- Zip : 06238-1551
- Phone : (866) 389-2727
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 005423 | CT |
National Provider Identifier
| NPI | 1003013525 |
|---|---|
| Provider Name | Nicole Marilyn Wagschal |
| First Address | Willington, CT 06279-2401 |
| Second Address | Coventry, CT 06238-1551 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/06/2007 |
| Last Update Date | 29/10/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.