WENDY MARIKO AWA

BRIDGEPORT, CT
NPI1770090789
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: CT  7420)
Additional Taxonomies163W00000X Registered Nurse
(Licence: CT  106481)
Enumeration Date2017-12-29
Last Update Date2022-04-07
Business Address
WENDY MARIKO AWA APRN
2800 MAIN ST
BRIDGEPORT, CT 06606-4201
Phone number: 475-210-6177
Mailing Address
WENDY MARIKO AWA APRN
1290 SILAS DEANE HWY
WETHERSFIELD, CT 06109-4337
Phone number: 475-210-6177