MEDICARE: MRS. BONNIE JEANNE WAGMEISTER RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WE0003X	Emergency Registered Nurse	183414	CT

General Provider Information

NPI Number	:	1568162535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BONNIE JEANNE WAGMEISTER RN

Provider Business Mailing Address
First Line	:	280 W ELM ST
Second Line	:
City	:	DEEP RIVER
State	:	CT
Zip	:	06417-1617
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 FLAT ROCK PL
Second Line	:
City	:	WESTBROOK
State	:	CT
Zip	:	06498-3585
Country	:	US
Telephone Number	:	860-358-3700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2023
Last Update Date	:	03/07/2023

Similar Medicare Providers

1063621829 — JENNIFER LYN SUTHERLAND M.D., M.P.H
Practice Location Address:

250 FLAT ROCK PLACE , PHYS OFF 1
WESTBROOK, CT
06498-3585

Practice Phone: 860-358-3640
Practice Fax: 860-358-8656

1316299704 — JULIE MARTIN NP
Practice Location Address:

250 FLAT ROCK PL
WESTBROOK, CT
06498-3585

Practice Phone: 860-358-3640
Practice Fax: 860-358-8656

1962889337 — DR. JULIETTE NEDAH HARRIS M.D.
Practice Location Address:

250 FLAT ROCK PL
WESTBROOK, CT
06498-3585

Practice Phone: 860-358-3640
Practice Fax:

1326497876 — JASON ZIEGLER MD
Practice Location Address:

250 FLAT ROCK PL
WESTBROOK, CT
06498-3585

Practice Phone: 860-358-3640
Practice Fax: 860-358-8656

1598219636 — MS. CAROL ANNE STANDISH APRN
Practice Location Address:

250 FLAT ROCK PL FL 2
WESTBROOK, CT
06498-3585

Practice Phone: 860-358-3640
Practice Fax: 860-358-8656

1407054844 — DR. LARA ANN COLABELLI DO
Practice Location Address:

5 PEQUOT PARK RD STE 201A
WESTBROOK, CT
06498-2856

Practice Phone: 860-339-3350
Practice Fax: 860-661-5027

Directions to “ MRS. BONNIE JEANNE WAGMEISTER RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.