Assiah Health And Wellness LLC
Nurse Practitioner, Primary Care in Hartford, CT. Organization (NPI-2).
NPI number1023970969
StatusActive
Last updated in NPPESDec 1, 2025
Details
- NPI
- 1023970969
- Entity type
- Organization (NPI-2)
- Legal business name
- Assiah Health And Wellness LLC
- Organization subpart
- No
- Enumeration date
- Dec 1, 2025
- Certification date
- Nov 30, 2025
- Last updated
- Dec 1, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | – | – | Yes |
| 207RR0500X | Internal Medicine, Rheumatology | – | – | |
| 363LA2200X | Nurse Practitioner, Adult Health | – | – | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – |
Practice location
1445 Albany AveHartford, CT 06112-2110
Phone 728-200-1053
Mailing address
1445 Albany AveHartford, CT 06112-2110
Phone 728-200-1053
Authorized official
Pauline Patricia Wilks
Owner/Ceo
7282001053
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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