Healthcare Provider Details

I. General information

NPI: 1558597674
Provider Name (Legal Business Name): ENIA YAH ZIGBUO-WENZLER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2009
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 WOODLAND ST
HARTFORD CT
06105-2363
US

IV. Provider business mailing address

33 GIRARD AVE
HARTFORD CT
06105-2230
US

V. Phone/Fax

Practice location:
  • Phone: 888-793-3500
  • Fax:
Mailing address:
  • Phone: 617-840-4846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number274609
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: