SearchConnecticutSurgical Physician Assistant

Nicole Wizeman, PA-C

NPI 1134511595 · on the registry since 2015

Practice

Address
71 Haynes St
Manchester, CT 06040
Phone
(860) 533-6595
Fax
(860) 533-6594
Organisation at this address
Manchester Memorial Hospital
Manchester Memorial Hospital
Manchester Memorial Hospital
Manchester Memorial Hospital
Manchester Memorial Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
262

Registry record

Primary taxonomy
Surgical Physician Assistant
363AS0400X
Also registered as
Surgical Physician Assistant
Licence states on file
CT, MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-01-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut