OrganizationActive
Windham Community Memorial Hospital
NPI 1629475371 · Critical Care Neonatal Nurse Practitioner · Willimantic, CT
Provider details
- NPI number
- 1629475371
- Entity type
- Organization
- Primary specialty
- Critical Care Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Janice Mackie, Financial Officer(860) 425-8755
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
112 Mansfield Ave
Willimantic, CT 06226-2045
Phone: (860) 456-6752
Fax: (203) 265-4557
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 4131
Yalesville, CT 06492-1481
Registry dates
- Enumerated
- 2014-11-24
- Last updated
- 2014-11-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.