Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Windham Community Memorial Hospital

Organization Critical Care Neonatal Nurse Practitioner · NPI 1629475371

Windham Community Memorial Hospital provides Critical Care Neonatal Nurse Practitioner services in Willimantic, Connecticut. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

112 Mansfield Ave
Willimantic, CT 06226-2045 Not confirmed with CMS for 11 years — call before visiting
Phone: (860) 456-6752
Fax: (203) 265-4557
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Neonatal Nurse Practitioner (primary) Taxonomy 363LN0005X

Record details

NPI number1629475371
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janice Mackie — Financial Officer · (860) 425-8755
NPI enumeratedNovember 24, 2014
Last updated in NPPESNovember 24, 2014
Mailing addressPo Box 4131, Yalesville, CT 06492-1481