Provider Demographics
NPI:1770215279
Name:WILES, UNITY (DNP, FNP-C, MSN, MBA)
Entity Type:Individual
Prefix:
First Name:UNITY
Middle Name:
Last Name:WILES
Suffix:
Gender:F
Credentials:DNP, FNP-C, MSN, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:162 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06473-1711
Mailing Address - Country:US
Mailing Address - Phone:203-239-4071
Mailing Address - Fax:
Practice Address - Street 1:162 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:NORTH HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06473-1711
Practice Address - Country:US
Practice Address - Phone:203-239-4071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-24
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT11124363LF0000X
CT97560163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical