Prim Wabunoha (NPI# 1750854402, PAC ID# 5496094468) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1750854402 |
| PAC ID by PECOS | 5496094468 |
| Professional Enrollment ID | I20190308002208 |
| Full Name | Prim Wabunoha |
| Organization Legal Name | PHYSICIANS ALLIANCE OF CONNECTICUT LLC |
| Address |
74 Cheshire Rd Wallingford CT 06492-3065 |
| Phone Number | 2039326481 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5890939029 |
| Number of Group Practice Members | 110 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 74 Cheshire Rd, Wallingford, CT 06492-3065 | 2039326481 | PHYSICIANS ALLIANCE OF CONNECTICUT LLC |
| 687 Campbell Ave, West Haven, CT 06516-3774 | 2039320787 | PHYSICIANS ALLIANCE OF CONNECTICUT LLC |
| Organization Legal Name | PHYSICIANS ALLIANCE OF CONNECTICUT LLC |
| Physicians | 110 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Niurka J Visconti | Internal Medicine | Physicians Alliance of Connecticut LLC | 477 Boston Post Rd, Orange, CT 06477-3548 |
| Chanon C Biceglia | Nurse Practitioner | Physicians Alliance of Connecticut LLC | 687 Campbell Ave, West Haven, CT 06516-3774 |
| Holly Penkacik | Nurse Practitioner | Physicians Alliance of Connecticut LLC | 689 Campbell Ave, West Haven, CT 06516-3711 |
| Deborah J Valin | Nurse Practitioner | Physicians Alliance of Connecticut LLC | 2690 Whitney Ave, Hamden, CT 06518-2924 |
| Meredith C Edwards | Nurse Practitioner | Physicians Alliance of Connecticut LLC | 74 Cheshire Rd, Wallingford, CT 06492-3065 |
| Jennifer Ruby | Nurse Practitioner | Physicians Alliance of Connecticut LLC | 1453 Whalley Ave, New Haven, CT 06515-1153 |
| Jeffrey Reynolds | Nephrology | Physicians Alliance of Connecticut LLC | 240 Indian River Rd, Suite A5, Orange, CT 06477-3690 |
| Mark P Altman | Orthopedic Surgery | Physicians Alliance of Connecticut LLC | 350 Goose Ln, Suite 203b, Guilford, CT 06437-2158 |
| Helen Ede | Family Medicine | Physicians Alliance of Connecticut LLC | 1291 Boston Post Rd, Suite 200, Madison, CT 06443-3476 |
| Jennifer S Thompson | Gastroenterology | Physicians Alliance of Connecticut LLC | 2200 Whitney Ave, Suite 360, Hamden, CT 06518-3602 |
| Street Address |
74 CHESHIRE RD |
| City | WALLINGFORD |
| State | CT |
| Zip | 06492-3065 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meredith C Edwards | Nurse Practitioner | Physicians Alliance of Connecticut LLC | 74 Cheshire Rd, Wallingford, CT 06492-3065 |
| Jennifer B. Lee | Nurse Practitioner | Physicians Alliance of Connecticut LLC | 74 Cheshire Rd, Wallingford, CT 06492-3065 |
| Virginie Le Dru Cohen | Nurse Practitioner | Physicians Alliance of Connecticut LLC | 74 Cheshire Rd, Wallingford, CT 06492-3065 |
| Regina M Daniels | Nurse Practitioner | Physicians Alliance of Connecticut LLC | 74 Cheshire Rd, Wallingford, CT 06492-3065 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shahzad Zaki | Family Medicine | 1257 S Broad St, Unit 4, Wallingford, CT 06492-1737 | |
| Sarah Caitlin Anderson | Chiropractic | 1271 S Broad St, Wallingford, CT 06492-1750 | |
| Megan M Mularski | Nurse Practitioner | Robinson Pa LLC | 85 Barnes Rd, Suite 201, Wallingford, CT 06492-1832 |
| Anace H Said | Internal Medicine | 85 Barnes Rd, Suite 202, Wallingford, CT 06492-1832 | |
| John P Calatayud | Chiropractic | 85 Barnes Rd, Suite 101, Wallingford, CT 06492-1832 | |
| Toccara L Mularski | Nurse Practitioner | Robinson Pa LLC | 85 Barnes Rd, Suite 201, Wallingford, CT 06492-1832 |
| John W Redmond | Ophthalmology | 85 Barnes Rd, Suite 102, Wallingford, CT 06492-1832 | |
| Lisa M Fritch | Nurse Practitioner | Robinson Pa LLC | 85 Barnes Rd, Suite 201, Wallingford, CT 06492-1832 |
| Theodora Fraser Mcpherson | Physician Assistant | Robinson Pa LLC | 85 Barnes Rd, Suite 201, Wallingford, CT 06492-1832 |
| Alfredo L Axtmayer | Orthopedic Surgery | 85 Barnes Rd, Suite 301, Wallingford, CT 06492-1832 | |
| Find all physicians in zip 06492 | |||
| City | WALLINGFORD |
| Zip Code | 06492 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WALLINGFORD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Prim Wabunoha.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.