Provider Demographics
NPI:1780677450
Name:CARLSON-QUIRK, WENDY SUE (APRN)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:SUE
Last Name:CARLSON-QUIRK
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 BAYSHORE DR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-7311
Mailing Address - Country:US
Mailing Address - Phone:203-878-9845
Mailing Address - Fax:
Practice Address - Street 1:6 CORPORATE DR
Practice Address - Street 2:SUITE 420, NP CARE, LLC
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-6270
Practice Address - Country:US
Practice Address - Phone:203-925-9600
Practice Address - Fax:203-926-0594
Is Sole Proprietor?:No
Enumeration Date:2005-08-26
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002511363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily