Healthcare Provider Details

I. General information

NPI: 1770692790
Provider Name (Legal Business Name): CINDY WECHSLER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CINDY WECHSLER APRN

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 12/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 INDIAN RIVER RD SUITE B-1
ORANGE CT
06477-3649
US

IV. Provider business mailing address

240 INDIAN RIVER RD SUITE B-1
ORANGE CT
06477-3649
US

V. Phone/Fax

Practice location:
  • Phone: 203-795-6025
  • Fax: 203-799-1554
Mailing address:
  • Phone: 203-795-6025
  • Fax: 203-799-1554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number000264
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: