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 is a Critical Care Neonatal Nurse Practitioner 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
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