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:
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 1:67 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:DERBY
Mailing Address - State:CT
Mailing Address - Zip Code:06418-1328
Mailing Address - Country:US
Mailing Address - Phone:203-888-5527
Mailing Address - Fax:203-888-3727
Practice Address - Street 1:220 MAIN ST STE 1A
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:CT
Practice Address - Zip Code:06478-1065
Practice Address - Country:US
Practice Address - Phone:203-888-5527
Practice Address - Fax:203-888-3727
Is Sole Proprietor?:No
Enumeration Date:2022-06-24
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT97560163WM0705X
CT11124363LF0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily