KAREN MARIE WUNDERLICH


Address: 120 Park Lane Rd Ste B202, New Milford, CT 06776-2450
Phone: 8602100082

KAREN MARIE WUNDERLICH (NPI# 1710963483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710963483
Entity Type Individual
Full Name KAREN MARIE WUNDERLICH
Other Name KAREN MARIE STOLTZ
Credential NP
Practice Address 120 Park Lane Rd Ste B202
New Milford
CT 06776-2450
Practice Telephone 8602100082
Practice Fax Number 8602101633
Mailing Telephone 8602100082
Mailing Fax Number 8602101633
Enumeration Date 2005-12-15
Last Update Date 2018-02-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
F360330 NY Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 120 PARK LANE RD STE B202
City NEW MILFORD
State CT
Zip Code 06776-2450

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1134393259 Brian A Fusillo Dentist One Aspetuck Ave, New Milford, CT 06776 2008-04-18
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1366637084 Mary Mackessy Emergency Medicine 21 Elm Street, New Milford, CT 06776 2007-09-06
1659407021 Margaret Martha Babington Specialist/Technologist 101 Aspetuck Ave, Canterbury School, New Milford, CT 06776 2007-02-27
1053448456 Lisa Gay Witham Specialist/Technologist 101 Aspetuck Ave., Canterbury School, New Milford, NH 06776 2007-02-27
1710049754 Linda Gail Smith Social Worker New Milford Hospital Behavioral Health Services, 18 Elm St, New Milford, CT 06776 2006-12-15
1881777597 Candlewood New Milford LLC Skilled Nursing Facility 30 Park Lane East, New Milford, CT 06776 2006-10-24
1417030651 Interface Center Inc Counselor 46 Danbury Rd, Suite 6, New Milford, CT 06776 2006-10-23
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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548655038 Tania Richard Nurse Practitioner 17 Eastwood Rd, Groton, CT 06340-6010 2015-04-01
1710230842 Lenore Ann Leone Nurse Practitioner 500 Old Farms Rd, Avon, CT 06001-2716 2012-10-26
1669571428 Mary Jean Walker Nurse Practitioner 300 Western Boulevard, Glastonbury, CT 06033 2006-09-21
1992802037 Adele Silhavy Nurse Practitioner 1000 Asylum Ave Rm 1026, Hartford, CT 06105-1701 2006-09-20
1902912827 Elizabeth Jensen Nurse Practitioner 120 Simsbury Rd Ste B, Avon, CT 06001-3735 2006-08-22
1578590485 Jean E. Mackay Nurse Practitioner 67 Hickory Hill Road, Simsbury, CT 06070 2006-06-27
1083687057 Jeanne Bedard Nurse Practitioner 346 Pomfret St, Putnam, CT 06260-1871 2006-02-09
1467628016 Jean D Vulte Nurse Practitioner 33 Bullet Hill Rd., Bullet Hill Park, Suite 214, Southbury, CT 06488-4699 2008-05-05
1477766202 Timothy M Barczak Md LLC Nurse Practitioner 345 Montauk Ave, New London, CT 06320-4738 2007-05-08
1326166513 Jean Carol Ohliger Nurse Practitioner 1050 Sullivan Ave, Suite A4, South Windsor, CT 06074-2000 2007-03-26
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Competitor

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City NEW MILFORD
Zip Code 06776

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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