DIAHANN WILCOX

FARMINGTON, CT
NPI1417954249
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CT  001527)
Enumeration Date2005-07-07
Last Update Date2022-11-18
Business Address
-- DIAHANN WILCOX APRN
263 FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 860-679-2544
Mailing Address
-- DIAHANN WILCOX APRN
263 FARMINGTON AVE PROVIDER ENROLLMENT
FARMINGTON, CT 06030-2212
Phone number: 860-679-7503