MEDICARE: MARYKAY BAUER WEGMAN APRN

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	363L00000X	Nurse Practitioner	VP006124B	PA
2	363LA2100X	Acute Care Nurse Practitioner	003798	CT
3	363LF0000X	Family Nurse Practitioner	003798	CT

General Provider Information

NPI Number	:	1629069257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARYKAY BAUER WEGMAN APRN

Provider Business Mailing Address
First Line	:	687 HERITAGE HILL RD
Second Line	:
City	:	ORANGE
State	:	CT
Zip	:	06477-2497
Country	:	US
Telephone Number	:	203-298-4114
Fax Number	:

Provider Business Practice Location Address
First Line	:	2184 MAIN ST
Second Line	:
City	:	STRATFORD
State	:	CT
Zip	:	06615-5937
Country	:	US
Telephone Number	:	203-378-9002
Fax Number	:

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

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	06/05/2014

Similar Medicare Providers

1083648125 — DR. LEE JON FOREST D.O.
Practice Location Address:

2184 MAIN ST
STRATFORD, CT
06615-5937

Practice Phone: 203-378-9002
Practice Fax: 203-375-0336

1053323998 — MRS. LAURA N BURR APRN
Practice Location Address:

2184 MAIN ST
STRATFORD, CT
06615-5937

Practice Phone: 203-378-9002
Practice Fax:

1497915359 — FAIRFIELD FAMILY PHYSICIANS,LLC
Practice Location Address:

2184 MAIN ST
STRATFORD, CT
06615-5937

Practice Phone: 203-378-9002
Practice Fax: 203-375-0336

1891794848 — DR. RAYMOND STEWART M.D.
Practice Location Address:

727 HONEYSPOT RD
STRATFORD, CT
06615-7172

Practice Phone: 203-375-7245
Practice Fax: 203-332-0376

1194727958 — DR. EDUARDO FIGUEROA MD
Practice Location Address:

2499 MAIN ST
STRATFORD, CT
06615-5843

Practice Phone: 203-386-9600
Practice Fax: 203-386-9609

1548256647 — FAMILY VISION CENTER LLC
Practice Location Address:

775 MAIN ST
STRATFORD, CT
06615-7406

Practice Phone: 203-377-2020
Practice Fax: 203-381-9936

Directions to “ MARYKAY BAUER WEGMAN APRN” 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.