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

Wanda Juarros Hanlon, MD

Individual provider Family Medicine Physician · NPI 1720034242

Wanda Juarros Hanlon, MD is a Family Medicine Physician in Bridgeport, Connecticut. Works from 3 locations. Licensed in Arizona, Connecticut and Washington.

Licensed in
AZ, CT, WA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

64 Black Rock Ave
Bridgeport, CT 06605-1200
Phone: (203) 576-3885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 18 Nw 20th Ave Ste 101, Battle Ground, WA 98604-4175 — (360) 952-4457
  • 1718 E Kessler Blvd, Longview, WA 98632-1842 — (360) 747-5800

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 82035 (CT)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD60621875 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 26518 (AZ)

Record details

NPI number1720034242
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 26, 2006
Last updated in NPPESJune 13, 2025
Certification dateJune 13, 2025

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