Most Relevant Information
Provider Data
| NPI Number: | 1003177163 |
| Provider Name: | CHARIS WIPFLER |
| Entity Type: | Individual |
| Taxonomy Code: | 363LC0200X |
| Specialty: | Nurse Practitioner |
| License Number: | 005039 |
Most Important Dates
| Enumeration Date: | 06/06/2012 |
| Last Updated: | 07/25/2012 |
Provider Practice Location
56 FRANKLIN ST
WATERBURY
CT
067061253
Practice Location Phone/Fax
| Phone: | 8607096140 |
| Fax: |
Provider Mailing Location
PO BOX 1090
WINDSOR
CT
060956190
Provider Mailing Phone/Fax
| Phone: | 8009257270 |
| Fax: | 8883311015 |